| Alexandra Mccoll Marcotte Fierros, MS, RDN, CSP, LD | |
|
22 Bramhall St, Portland, ME 04102-3134 | |
| (072) 662-2349 | |
| Not Available |
| Full Name | Alexandra Mccoll Marcotte Fierros |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Pediatric |
| Location | 22 Bramhall St, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073054656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | DI1497 (Maine) | Primary |
| Provider Name | Mary Hitchcock Memorial Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
| Provider Name | Dartmouth-hitchcock Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Mccoll Marcotte Fierros, MS, RDN, CSP, LD 1 Medical Center Dr, Dartmouth Hitchcock - Food & Nutrition Services, Lebanon, NH 03756-1000 Ph: (603) 650-5907 | Alexandra Mccoll Marcotte Fierros, MS, RDN, CSP, LD 22 Bramhall St, Portland, ME 04102-3134 Ph: (072) 662-2349 |
Tegan Swift, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4238 | |
Lynda Flavia Lawrence, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 511 Congress St, Portland, ME 04101 Phone: 650-248-4863 Fax: 207-387-7147 | |
Kassi Marie Swallow, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1577 Congress St, Portland, ME 04102 Phone: 207-662-1622 | |
Mary B Mchugh, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3604 | |
Gail E Valente, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 616 Forest Ave, Portland, ME 04101 Phone: 207-771-1753 | |
Amy Baker Joyce, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 Lester Dr, Portland, ME 04103 Phone: 240-381-6716 |