Susan Banuelos Smith, MS RD LD CDE in Mesquite, TX - Medicare Dietitian, Registered Provider

Susan Banuelos Smith, MS RD LD CDE is a medicare enrolled "Dietitian, Registered" provider in Mesquite, Texas. Her current practice location is 5308 N Galloway Ave Ste 200, Mesquite, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 358-2300.

Susan Banuelos Smith is licensed to practice in Texas (license number DT05851) 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 1407347297.

Contact Information

	Susan Banuelos Smith, MS RD LD CDE
	5308 N Galloway Ave Ste 200, Mesquite, TX 75150-1125
	(214) 358-2300
	(214) 579-6754

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Banuelos Smith
Gender	Female
Speciality	Dietitian, Registered
Location	5308 N Galloway Ave Ste 200, Mesquite, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407347297
Provider Enumeration Date: 05/29/2018
Last Update Date: 09/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1355727702
Enrollment ID: I20221007002136

Medical Identifiers

Medical identifiers for Susan Banuelos Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407347297	NPI	-	NPPES
DT05851	Other	TX	REGISTERED DIETITIAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT05851 (Texas)	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. Susan Banuelos Smith allows following entities to bill medicare on her behalf.

Provider Name	Dallas Nephrology Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861440109 PECOS PAC ID: 3870403819 Enrollment ID: O20040624000638

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. Susan Banuelos 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
Susan Banuelos Smith, MS RD LD CDE 447 Lakedale Dr, Murphy, TX 75094-4289 Ph: (469) 734-0822	Susan Banuelos Smith, MS RD LD CDE 5308 N Galloway Ave Ste 200, Mesquite, TX 75150-1125 Ph: (214) 358-2300

Reviews and Comments

Dietitian, Registered in Mesquite, TX

Amy Hullett Adams, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3400 Interstate Highway 30 Ste 220, Mesquite, TX 75150 Phone: 214-358-2300 Fax: 214-579-6941
Katherine Denise Hill, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 929 N Galloway Ave Ste 302a, Mesquite, TX 75149 Phone: 956-206-8547
Janelle Marie Andonie Bocock, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1112 Aragon Trl, Mesquite, TX 75149 Phone: 214-000-0000
Kimberly K. Dickson, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1575 I-30, Mesquite, TX 75150 Phone: 469-800-2800 Fax: 469-800-2801
Udoka Omenukor, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1675 Republic Pkwy, #200-a, Mesquite, TX 75150 Phone: 214-315-3263
Laura Long, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1621 N Belt Line Rd Ste A, Mesquite, TX 75149 Phone: 214-909-8903
Healthy Changes Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1645 N Town East Blvd, Suite 503, Mesquite, TX 75150 Phone: 214-808-3427

Susan Banuelos Smith, MS RD LD CDE - Medicare Dietitian in Mesquite, TX