Susanne D'angelo-cooley, RD in Scarborough, ME - Medicare Dietitian, Registered Provider

Susanne D'angelo-cooley, RD is a medicare enrolled "Dietitian, Registered" provider in Scarborough, Maine. Her current practice location is 175 Us Route 1, Scarborough, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 885-7700.

Susanne D'angelo-cooley is licensed to practice in Maine (license number D1336) 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 1164460176.

Contact Information

	Susanne D'angelo-cooley, RD
	175 Us Route 1, Scarborough, ME 04074-9048
	(207) 885-7700
	(207) 885-7701

Map and Direction

Healthcare Provider's Profile

Full Name	Susanne D'angelo-cooley
Gender	Female
Speciality	Dietitian, Registered
Location	175 Us Route 1, Scarborough, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164460176
Provider Enumeration Date: 06/02/2006
Last Update Date: 02/22/2012

Medicare PECOS Information:

PECOS PAC ID: 2668417858
Enrollment ID: I20050628000740

Medical Identifiers

Medical identifiers for Susanne D'angelo-cooley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164460176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D1336 (Maine)	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. Susanne D'angelo-cooley allows following entities to bill medicare on her behalf.

Provider Name	Mainehealth
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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. Susanne D'angelo-cooley 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
Susanne D'angelo-cooley, RD 301 Us Route 1, Building C, Scarborough, ME 04074-7609 Ph: (207) 396-8600	Susanne D'angelo-cooley, RD 175 Us Route 1, Scarborough, ME 04074-9048 Ph: (207) 885-7700

Reviews and Comments

Dietitian, Registered in Scarborough, ME

H2o Fitness Collaborative Llc Dietitian Medicare: Medicare Enrolled Practice Location: 245 Gorham Rd, Scarborough, ME 04074 Phone: 802-734-7544
Mrs. Kristen Alexis Grimes, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 175 Us Route 1, Scarborough, ME 04074 Phone: 207-396-7700
Kelly Falone, Dietitian Medicare: Medicare Enrolled Practice Location: 92 Campus Dr, Ste B, Scarborough, ME 04074 Phone: 207-662-5143
Suzanne Farnham, Dietitian Medicare: Medicare Enrolled Practice Location: 175 Us Route 1, Scarborough, ME 04074 Phone: 207-396-7000 Fax: 207-396-7000
Dietitian Medicare: Not Enrolled in Medicare Practice Location: 175 Us Route 1, Scarborough, ME 04074 Phone: 207-885-7700 Fax: 207-885-7701
Alexis J Jones, Dietitian Medicare: Medicare Enrolled Practice Location: 27 Gorham Road, Suite 201 Mailbox #6, Scarborough, ME 04074 Phone: 207-749-9553 Fax: 877-743-5351

Susanne D'angelo-cooley, RD - Medicare Dietitian in Scarborough, ME