Elizabeth M Wyman, RD,CDN is a medicare enrolled "Dietitian, Registered" in Niskayuna, New York. Her current practice location is
1270 Dean St, Niskayuna, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 836-5977.
Elizabeth M Wyman is licensed to practice in New York (license number 007507) 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 1285999649.
Provider's Profile
| Full Name | Elizabeth M Wyman |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1270 Dean St, Niskayuna, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285999649
- Provider Enumeration Date: 07/11/2012
- Last Update Date: 12/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628371119
- Enrollment ID: I20160115000941
Medical Identifiers
Medical identifiers for Elizabeth M Wyman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285999649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WD0400X | Registered Nurse - Diabetes Educator | 007507 (New York) | Secondary |
| 133V00000X | Dietitian, Registered | 007507 (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. Elizabeth M Wyman allows following entities to bill medicare on her behalf.
| Entity Name | St Peters Hospital Of The City Of Albany |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518042357
PECOS PAC ID: 2668460072
Enrollment ID: O20040504001301 |
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| Entity Name | St. Peter's Health Partners Medical Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750626834
PECOS PAC ID: 6103061189
Enrollment ID: O20130321000567 |
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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. Elizabeth M Wyman 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 |
|---|
Elizabeth M Wyman, RD,CDN
1270 Dean St,
Niskayuna, NY 12309-5724
Ph: (518) 836-5977 | Elizabeth M Wyman, RD,CDN
1270 Dean St,
Niskayuna, NY 12309-5724
Ph: (518) 836-5977 |
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