Alexandra Beliso, is a
Dietitian, Registered based in Hazlehurst, Georgia. Alexandra Beliso is licensed to practice in * (Not Available) (license number ) and her current practice location is
30 E Sycamore St, Hazlehurst, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 375-2425.
NPI number for Alexandra Beliso is 1639717796 and her current mailing address is 604 Riverside Ave, Waycross, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639717796.
Healthcare Provider's Profile
| Full Name | Alexandra Beliso |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 30 E Sycamore St, Hazlehurst, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639717796
- Provider Enumeration Date: 12/19/2019
- Last Update Date: 12/19/2019
Medical Identifiers
Medical identifiers for Alexandra Beliso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639717796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Alexandra Beliso 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 |
|---|
Alexandra Beliso,
604 Riverside Ave,
Waycross, GA 31501-5323
Ph: () - | Alexandra Beliso,
30 E Sycamore St,
Hazlehurst, GA 31539-6162
Ph: (912) 375-2425 |
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