Raven Bonnar-pizzorno, MS, RD in Renton, WA - Medicare Dietitian, Registered Provider

Raven Bonnar-pizzorno, MS, RD is a medicare enrolled "Dietitian, Registered" provider in Renton, Washington. Her current practice location is 500 Sw 39th St, Suite 150, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 264-2584.

Raven Bonnar-pizzorno is licensed to practice in Washington (license number DI 60052259) 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 1861648420.

Contact Information

	Raven Bonnar-pizzorno, MS, RD
	500 Sw 39th St, Suite 150, Renton, WA 98057-4915
	(425) 264-2584
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Raven Bonnar-pizzorno
Gender	Female
Speciality	Dietitian, Registered
Location	500 Sw 39th St, Renton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861648420
Provider Enumeration Date: 08/14/2008
Last Update Date: 04/10/2020

Medicare PECOS Information:

PECOS PAC ID: 3779650031
Enrollment ID: I20080929000373

Medical Identifiers

Medical identifiers for Raven Bonnar-pizzorno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861648420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI 60052259 (Washington)	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. Raven Bonnar-pizzorno allows following entities to bill medicare on her behalf.

Provider Name	Dandelion Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285046292 PECOS PAC ID: 3779801998 Enrollment ID: O20150417001153

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. Raven Bonnar-pizzorno 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
Raven Bonnar-pizzorno, MS, RD 7520 19th Ave Ne, Seattle, WA 98115-4432 Ph: (206) 228-6961	Raven Bonnar-pizzorno, MS, RD 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 Ph: (425) 264-2584

Reviews and Comments

Dietitian, Registered in Renton, WA

Mr. Adam Christopher Pazder, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Sw 39th St, Ste 150, Renton, WA 98057 Phone: 425-264-2584 Fax: 425-264-2569
Stacey Debra Oberst Peterson, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Sw 39th St, Suite 150, Renton, WA 98057 Phone: 253-350-4477 Fax: 253-630-2292
Erica G Zimmerman, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 275 Bronson Way Ne, Renton, WA 98056 Phone: 425-235-2800
Mrs. Cynamon Quinton, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3915 Talbot Rd S, Suite 200, Renton, WA 98055 Phone: 253-350-4477 Fax: 253-630-2292
Katelan Lauren Halgren, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-228-3450
Wendy Blair, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Sw 39th St, Suite 150, Renton, WA 98057 Phone: 253-350-4477 Fax: 253-630-2292
Bethany L Card, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Sw 39th St, Suite 150, Renton, WA 98057 Phone: 425-264-2584 Fax: 425-264-2569

Raven Bonnar-pizzorno, MS, RD - Medicare Dietitian in Renton, WA