| Andrew Michael Wade, RDN, LDN | |
|
5750 Baum Blvd Ste 306, Pittsburgh, PA 15206-3793 | |
| (412) 593-2048 | |
| (844) 311-7396 |
| Full Name | Andrew Michael Wade |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 5750 Baum Blvd Ste 306, Pittsburgh, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154737989 | NPI | - | NPPES |
| 1029948680001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN005123 (Pennsylvania) | Primary |
| Provider Name | Case Specific Nutrition Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750758561 PECOS PAC ID: 6507164647 Enrollment ID: O20160406000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Michael Wade, RDN, LDN 5750 Baum Blvd Ste 306, Pittsburgh, PA 15206-3793 Ph: (412) 593-2048 | Andrew Michael Wade, RDN, LDN 5750 Baum Blvd Ste 306, Pittsburgh, PA 15206-3793 Ph: (412) 593-2048 |
Andrea Naylor, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9100 Babcock Blvd, Suite 3020, Pittsburgh, PA 15237 Phone: 412-748-6468 | |
Allison Mccloy, MBA,RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: University Drive C, Pittsburgh, PA 15240 Phone: 412-688-6000 | |
Mrs. Susan Audrey Stark, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3459 5th Ave, Pittsburgh, PA 15213 Phone: 412-647-2906 Fax: 412-647-7839 | |
Thrive Place Lp Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4070 Beechwood Blvd, Unit 1, Pittsburgh, PA 15217 Phone: 412-521-1067 Fax: 866-902-6694 | |
Imagine Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 218 N Dallas Ave, Pittsburgh, PA 15208 Phone: 724-388-5804 Fax: 888-764-9766 | |
Zheng Zeng, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5701 Centre Ave Apt 405, Pittsburgh, PA 15206 Phone: 412-427-0236 | |
Emma Jean Good, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1307 Federal St Ste B300, Pittsburgh, PA 15212 Phone: 412-359-3751 |