Deanna Mollicone, RDN is a
Dietitian, Registered based in Bloomfield Hills, Michigan. Deanna Mollicone is licensed to practice in Michigan (license number ) and her current practice location is
43902 Woodward Ave Ste 230, Bloomfield Hills, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 825-1616.
NPI number for Deanna Mollicone is 1316448178 and her current mailing address is 2611 Essex St, Royal Oak, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316448178.
Healthcare Provider's Profile
| Full Name | Deanna Mollicone |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 43902 Woodward Ave Ste 230, Bloomfield Hills, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316448178
- Provider Enumeration Date: 02/26/2018
- Last Update Date: 02/26/2018
Medical Identifiers
Medical identifiers for Deanna Mollicone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316448178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | (Michigan) | Secondary |
| 133N00000X | Nutritionist | (Michigan) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (Michigan) | Secondary |
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (Michigan) | Secondary |
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (Michigan) | Secondary |
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (Michigan) | Secondary |
| 133V00000X | Dietitian, Registered | (Michigan) | Primary |
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. Deanna Mollicone 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 |
|---|
Deanna Mollicone, RDN
2611 Essex St,
Royal Oak, MI 48073-2928
Ph: (248) 825-1616 | Deanna Mollicone, RDN
43902 Woodward Ave Ste 230,
Bloomfield Hills, MI 48302-5022
Ph: (248) 825-1616 |
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