Tara Lyn Cechnicki, is a medicare enrolled "Dietitian, Registered" provider in Ballston Lake, New York. Her current practice location is
80 Cypress St Apt 201, Ballston Lake, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 878-5062.
Tara Lyn Cechnicki 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 1992068001.
Healthcare Provider's Profile
| Full Name | Tara Lyn Cechnicki |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 80 Cypress St Apt 201, Ballston Lake, New York |
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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: 1992068001
- Provider Enumeration Date: 06/22/2012
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880833425
- Enrollment ID: I20230412002446
Medical Identifiers
Medical identifiers for Tara Lyn Cechnicki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992068001 | 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. Tara Lyn Cechnicki allows following entities to bill medicare on her behalf.
| Provider Name | Stamford Health Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154633980
PECOS PAC ID: 6901099746
Enrollment ID: O20101025000743 |
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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. Tara Lyn Cechnicki 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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Tara Lyn Cechnicki,
80 Cypress St Apt 201,
Ballston Lake, NY 12019-1753
Ph: (518) 878-5062 | Tara Lyn Cechnicki,
80 Cypress St Apt 201,
Ballston Lake, NY 12019-1753
Ph: (518) 878-5062 |
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