Wendi Connelly, RD, LDN is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Cambridge Springs, Pennsylvania. Her current practice location is
370 Waterhouse Rd, Cambridge Springs, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 449-3541.
Wendi Connelly is licensed to practice in Pennsylvania (license number DN001433) 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 1578970638.
Healthcare Provider's Profile
Full Name | Wendi Connelly |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Pediatric |
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Location | 370 Waterhouse Rd, Cambridge Springs, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578970638
- Provider Enumeration Date: 07/21/2014
- Last Update Date: 07/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 6103284476
- Enrollment ID: I20230619000263
Medical Identifiers
Medical identifiers for Wendi Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578970638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | DN001433 (Pennsylvania) | 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. Wendi Connelly allows following entities to bill medicare on her behalf.
Provider Name | Shriners Hospitals For Children |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1982971503 PECOS PAC ID: 9133031933 Enrollment ID: O20121012000051 |
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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. Wendi Connelly 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 |
Wendi Connelly, RD, LDN 370 Waterhouse Rd, Cambridge Springs, PA 16403-9120 Ph: (814) 449-3541 | Wendi Connelly, RD, LDN 370 Waterhouse Rd, Cambridge Springs, PA 16403-9120 Ph: (814) 449-3541 |
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