Cassandra Defeo, RD is a
Counselor - Professional based in Jekyll Island, Georgia. Cassandra Defeo is licensed to practice in Georgia (license number LPC007019) and her current practice location is
3 Forest Ave Apt A, Jekyll Island, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 515-5822.
NPI number for Cassandra Defeo is 1013525401 and her current mailing address is 3 Forest Ave Apt A, Jekyll Island, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013525401.
Healthcare Provider's Profile
Full Name | Cassandra Defeo |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 3 Forest Ave Apt A, Jekyll Island, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013525401
- Provider Enumeration Date: 07/21/2020
- Last Update Date: 06/03/2022
Medical Identifiers
Medical identifiers for Cassandra Defeo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013525401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC007019 (Georgia) | Primary |
133V00000X | Dietitian, Registered | LD004284 (Georgia) | Secondary |
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. Cassandra Defeo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cassandra Defeo, RD 3 Forest Ave Apt A, Jekyll Island, GA 31527-0786 Ph: () - | Cassandra Defeo, RD 3 Forest Ave Apt A, Jekyll Island, GA 31527-0786 Ph: (912) 515-5822 |
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