Xiaofang Tan, RDN, CDN in Bayside, NY - Medicare Dietitian, Registered Provider

Xiaofang Tan, RDN, CDN is a medicare enrolled "Dietitian, Registered" provider in Bayside, New York. Her current practice location is 3347 213th St, Bayside, New York. You can reach out to her office (for appointments etc.) via phone at (646) 639-5011.

Xiaofang Tan is licensed to practice in New York (license number 011384) 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 1861113441.

Contact Information

	Xiaofang Tan, RDN, CDN
	3347 213th St, Bayside, NY 11361-1560
	(646) 639-5011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Xiaofang Tan
Gender	Female
Speciality	Dietitian, Registered
Location	3347 213th St, Bayside, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861113441
Provider Enumeration Date: 09/12/2022
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 1658736038
Enrollment ID: I20230510001213

Medical Identifiers

Medical identifiers for Xiaofang Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861113441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86290117 (New York)	Secondary
133V00000X	Dietitian, Registered	011384 (New York)	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. Xiaofang Tan allows following entities to bill medicare on her behalf.

Provider Name	Nutriall Wellness Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053033365 PECOS PAC ID: 9830554211 Enrollment ID: O20230509000671

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. Xiaofang Tan 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
Xiaofang Tan, RDN, CDN 3347 213th St, Bayside, NY 11361-1560 Ph: (929) 777-4933	Xiaofang Tan, RDN, CDN 3347 213th St, Bayside, NY 11361-1560 Ph: (646) 639-5011

Reviews and Comments

Dietitian, Registered in Bayside, NY

Dietitian Medicare: Medicare Enrolled Practice Location: 3347 213th St, Bayside, NY 11361 Phone: 929-777-4933 Fax: 888-370-1981
Nelcy D Mylonas, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 21406 23rd Ave Apt 2, Bayside, NY 11360 Phone: 917-757-4639
Lori Chan, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20220 36th Ave, Bayside, NY 11361 Phone: 917-513-0588
I-well Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3347 213th St, Bayside, NY 11361 Phone: 929-777-4933
Tsz Shan Au, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3347 213th St, Bayside, NY 11361 Phone: 929-777-4933 Fax: 888-370-1981
Dr. Lana Zinger, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 21616 17th Ave, Bayside, NY 11360 Phone: 917-371-1380
Ms. Dilia Rivera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2901 216th St, Bayside, NY 11360 Phone: 718-281-8800

Xiaofang Tan, RDN, CDN - Medicare Dietitian in Bayside, NY