Nicole Mae Smith, RD, CDN in Vestal, NY - Medicare Dietitian, Registered Provider

Nicole Mae Smith, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Vestal, New York. Her current practice location is 213 Tracy Creek Rd, Vestal, New York. You can reach out to her office (for appointments etc.) via phone at (607) 217-6513.

Nicole Mae Smith is licensed to practice in New York (license number 008834) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922570209.

Contact Information

	Nicole Mae Smith, RD, CDN
	213 Tracy Creek Rd, Vestal, NY 13850-1062
	(607) 217-6513
	(607) 786-9060

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Mae Smith
Gender	Female
Speciality	Dietitian, Registered
Location	213 Tracy Creek Rd, Vestal, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922570209
Provider Enumeration Date: 12/26/2018
Last Update Date: 12/26/2018

Medicare PECOS Information:

PECOS PAC ID: 5294068482
Enrollment ID: I20190603001333

Medical Identifiers

Medical identifiers for Nicole Mae Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922570209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	008834 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Mae Smith allows following entities to bill medicare on her behalf.

Provider Name	State Of New York Comptrollers Office
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Mae Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Mae Smith, RD, CDN 249 Glenwood Rd, Binghamton, NY 13905-1695 Ph: (607) 217-6513	Nicole Mae Smith, RD, CDN 213 Tracy Creek Rd, Vestal, NY 13850-1062 Ph: (607) 217-6513

Reviews and Comments

Dietitian, Registered in Vestal, NY

Kristi Garzo, MS, RDN, CDN, CLC Dietitian Medicare: Medicare Enrolled Practice Location: 3101 Shippers Rd Ste 203, Vestal, NY 13850 Phone: 607-251-2105 Fax: 607-251-2010
Marielle Zuccolo, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 213 Tracy Creek Rd, Vestal, NY 13850 Phone: 607-786-9063
Ms. Monique Dekleermaeker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4513 Old Vestal Rd, Vestal, NY 13850 Phone: 607-729-7001
Jaclyn Zindell, RD Dietitian Medicare: Medicare Enrolled Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-770-7365

Nicole Mae Smith, RD, CDN - Medicare Dietitian in Vestal, NY