Sofia Maddalena Colantuono, RD is a medicare enrolled "Dietitian, Registered" provider in Carol Stream, Illinois. Her current practice location is
825 Provincetown Dr, Carol Stream, Illinois. You can reach out to her office (for appointments etc.) via phone at
(331) 645-1036.
Sofia Maddalena Colantuono is licensed to practice in * (Not Available) (license number ) 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 1588383376.
Healthcare Provider's Profile
| Full Name | Sofia Maddalena Colantuono |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 825 Provincetown Dr, Carol Stream, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588383376
- Provider Enumeration Date: 08/24/2022
- Last Update Date: 08/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921455619
- Enrollment ID: I20231117001770
Medical Identifiers
Medical identifiers for Sofia Maddalena Colantuono such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588383376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sofia Maddalena Colantuono allows following entities to bill medicare on her behalf.
| Provider Name | Health Loft Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912461799
PECOS PAC ID: 3274866371
Enrollment ID: O20190604003077 |
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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. Sofia Maddalena Colantuono 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 |
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Sofia Maddalena Colantuono, RD
825 Provincetown Dr,
Carol Stream, IL 60188-4725
Ph: (331) 645-1036 | Sofia Maddalena Colantuono, RD
825 Provincetown Dr,
Carol Stream, IL 60188-4725
Ph: (331) 645-1036 |
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