Theresa M Moutafis, RD, LDN, CDE, IBCLC in Salem, MA - Medicare Dietitian, Registered Provider

Theresa M Moutafis, RD, LDN, CDE, IBCLC is a medicare enrolled "Dietitian, Registered" provider in Salem, Massachusetts. Her current practice location is 62 Appleton St, Salem, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (315) 730-1858.

Theresa M Moutafis is licensed to practice in Massachusetts (license number 000003134) 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 1588954622.

Contact Information

	Theresa M Moutafis, RD, LDN, CDE, IBCLC
	62 Appleton St, Salem, MA 01970-1630
	(315) 730-1858
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa M Moutafis
Gender	Female
Speciality	Dietitian, Registered
Location	62 Appleton St, Salem, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588954622
Provider Enumeration Date: 04/11/2011
Last Update Date: 12/18/2019

Medicare PECOS Information:

PECOS PAC ID: 3779979166
Enrollment ID: I20220412001794

Medical Identifiers

Medical identifiers for Theresa M Moutafis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588954622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1009944 (* (Not Available))	Secondary
133V00000X	Dietitian, Registered	(New York)	Secondary
133V00000X	Dietitian, Registered	000003134 (Massachusetts)	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. Theresa M Moutafis allows following entities to bill medicare on her behalf.

Provider Name	Zipongo Health Provider Group P.a.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972146694 PECOS PAC ID: 0547666448 Enrollment ID: O20220412001483

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. Theresa M Moutafis 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
Theresa M Moutafis, RD, LDN, CDE, IBCLC 62 Appleton St, Salem, MA 01970-1630 Ph: (315) 730-1858	Theresa M Moutafis, RD, LDN, CDE, IBCLC 62 Appleton St, Salem, MA 01970-1630 Ph: (315) 730-1858

Reviews and Comments

Dietitian, Registered in Salem, MA

Ms. Meghan Sarah Kenny, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19 Mall St, Salem, MA 01970 Phone: 978-766-3777
Jessi Haggerty Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 55 Perkins St, Salem, MA 01970 Phone: 516-410-3723 Fax: 617-207-4357
Margaret Buell Couch, MS, RDN, LDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12 S Mason St Apt 4, Salem, MA 01970 Phone: 256-656-6040
Barbara E. Rougier, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3r Oak View Ave, Salem, MA 01970 Phone: 978-239-9665
Leg Up Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 203 Washington St Apt 166, Salem, MA 01970 Phone: 978-712-0772
Katrina C Mancebo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16 Front St Ste 209, Salem, MA 01970 Phone: 978-927-0990 Fax: 866-921-9387
Bonnie R Martin, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Loring Ave, Suite 201, Salem, MA 01970 Phone: 978-744-7890

Theresa M Moutafis, RD, LDN, CDE, IBCLC - Medicare Dietitian in Salem, MA