Reformed Nutrition Llc is a medicare enrolled "Dietitian, Registered" provider in Canton, Connecticut. Their current practice location is
220 Albany Turnpike, Unit 1, Canton, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(860) 299-6000.
Reformed Nutrition Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Reformed Nutrition Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1629614953.
Healthcare Provider's Profile
Full Name | Reformed Nutrition Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 220 Albany Turnpike, Canton, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629614953
- Provider Enumeration Date: 11/21/2019
- Last Update Date: 11/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 0244652360
- Enrollment ID: O20200618002288
Medical Identifiers
Medical identifiers for Reformed Nutrition Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629614953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Reformed Nutrition Llc acts as a billing entity for following providers:
Provider Name | Hunter Bahre |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1710459227 PECOS PAC ID: 5799107819 Enrollment ID: I20200722002151 |
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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. Reformed Nutrition Llc 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 |
Reformed Nutrition Llc 222 Main St Ste 276, Farmington, CT 06032-3623 Ph: (860) 299-6000 | Reformed Nutrition Llc 220 Albany Turnpike, Unit 1, Canton, CT 06019 Ph: (860) 299-6000 |
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