Victor Nutrition Clinic - Medicare Dietitian in League City, TX

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Victor Nutrition Clinic is a medicare enrolled "Dietitian, Registered" provider in League City, Texas. Their current practice location is 2600 S Shore Blvd Ste 300, League City, Texas. You can reach out to their office (for appointments etc.) via phone at (281) 436-9668.

Victor Nutrition Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Victor Nutrition Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1023654670.

Contact Information

Victor Nutrition Clinic
2600 S Shore Blvd Ste 300,
League City, TX 77573-2944
(281) 436-9668
(281) 402-6286

Map and Direction




Healthcare Provider's Profile

Full NameVictor Nutrition Clinic
TypeFacility
SpecialityDietitian, Registered
Location2600 S Shore Blvd Ste 300, League City, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023654670
  • Provider Enumeration Date: 11/19/2019
  • Last Update Date: 01/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557795929
  • Enrollment ID: O20191218002720

Medical Identifiers

Medical identifiers for Victor Nutrition Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023654670NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary
133VN1005XDietitian, Registered - Nutrition, Renal (* (Not Available))Secondary
133VN1006XDietitian, Registered - Nutrition, Metabolic (* (Not Available))Secondary
133VN1101XDietitian, Registered - Nutrition, Gerontological (* (Not Available))Secondary
133VN1201XDietitian, Registered - Nutrition, Obesity And Weight Management (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Victor Nutrition Clinic acts as a billing entity for following providers:
Provider NameMadonna M Mamerow
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1104488220
PECOS PAC ID: 2466886833
Enrollment ID: I20191218002775

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. Victor Nutrition Clinic 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 AddressPractice Location Address
Victor Nutrition Clinic
Po Box 433,
Galveston, TX 77553-0433

Ph: (281) 436-9668		Victor Nutrition Clinic
2600 S Shore Blvd Ste 300,
League City, TX 77573-2944

Ph: (281) 436-9668

Reviews and Comments


Dietitian, Registered in League City, TX

Diana M Groux, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 302 Creek Bend Dr, League City, TX 77573
Phone: 832-755-9513    
Aileen Velasquez,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 234 Sunset Ridge Dr, League City, TX 77573
Phone: 832-991-0561    
Elizabeth O'meara Jacobs, RDN, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 303 Wild Plum Dr, League City, TX 77573
Phone: 713-483-4678    
Dr. Madonna M Mamerow, PHD, RDN, LD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 2600 S Shore Blvd Ste 300, League City, TX 77573
Phone: 281-436-9668    Fax: 833-259-9548
Chelsea B Hoover, MS, RD, LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 2240 Gulf Fwy S Ste 2.402e, League City, TX 77573
Phone: 832-505-1800    
Rachel Louise Desonier, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2660 Gulf Fwy S, League City, TX 77573
Phone: 832-505-2126    
Mackenzie Rady, MS, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 706 S Illinois Ave, League City, TX 77573
Phone: 832-260-6818    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.