Taylor Doktycz, in Southington, CT - Medicare Dietitian, Registered Provider

Taylor Doktycz, is a medicare enrolled "Dietitian, Registered" provider in Southington, Connecticut. Her current practice location is 143 Curtiss St, Southington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (804) 551-3877.

Taylor Doktycz is licensed to practice in Connecticut (license number 59.001659) 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 1497417257.

Contact Information

	Taylor Doktycz,
	143 Curtiss St, Southington, CT 06489-1704
	(804) 551-3877
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Doktycz
Gender	Female
Speciality	Dietitian, Registered
Location	143 Curtiss St, Southington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497417257
Provider Enumeration Date: 10/08/2021
Last Update Date: 10/08/2021

Medicare PECOS Information:

PECOS PAC ID: 3072906338
Enrollment ID: I20220209000394

Medical Identifiers

Medical identifiers for Taylor Doktycz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497417257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	59.001659 (Connecticut)	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. Taylor Doktycz allows following entities to bill medicare on her behalf.

Provider Name	Ilivewell Nutrition Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Taylor Doktycz 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
Taylor Doktycz, 143 Curtiss St, Southington, CT 06489-1704 Ph: () -	Taylor Doktycz, 143 Curtiss St, Southington, CT 06489-1704 Ph: (804) 551-3877

Reviews and Comments

Dietitian, Registered in Southington, CT

Ms. Nicole Nyerick, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 42 Willow Ct, Southington, CT 06489 Phone: 860-681-3266
Jessica Leigh Dorner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 360 Queen St Ste B, Southington, CT 06489 Phone: 860-540-6642
Barbara J Dubois, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 116 Peters Cir, Southington, CT 06489 Phone: 860-329-2534 Fax: 833-516-1880
Pamela Boushie, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1131 West St Ste 2, Southington, CT 06489 Phone: 860-517-8888
Catherine Reynolds, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 462 Queen St, Southington, CT 06489 Phone: 860-621-6704 Fax: 860-276-9885
Barbara Dubois And Associates Llc Dietitian Medicare: Medicare Enrolled Practice Location: 35 N Main St Ste 2a3, Southington, CT 06489 Phone: 860-329-2534 Fax: 833-516-1880
Lisa Johnson Stevenson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1131 West St Ste 2, Southington, CT 06489 Phone: 860-517-8888 Fax: 860-426-2551

Taylor Doktycz, - Medicare Dietitian in Southington, CT