| Benjamin Nelson, RD | |
|
148 W River St Ste 2, Providence, RI 02904-2615 | |
| (401) 793-7837 | |
| Not Available |
| Full Name | Benjamin Nelson |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 148 W River St Ste 2, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285371831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 01051 (Rhode Island) | Secondary |
| 133V00000X | Dietitian, Registered | LDN01051 (Rhode Island) | Primary |
| Provider Name | Lifespan Physician Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Provider Name | Coastal Medical Physicians Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Nelson, RD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: () - | Benjamin Nelson, RD 148 W River St Ste 2, Providence, RI 02904-2615 Ph: (401) 793-7837 |
Miss Megan Naquin, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 439 Benefit St, Providence, RI 02903 Phone: 401-262-0841 | |
Jeannie Dorr, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, George Clinic, Providence, RI 02903 Phone: 401-444-3201 Fax: 401-444-6115 | |
Stephanie M O'donnell, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Mrs. Sarah E. W. Rambikur, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4847 | |
Eliza Mellion, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Exchange St, Providence, RI 02903 Phone: 617-505-1804 | |
Lifefit Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1 Augusta St, Providence, RI 02908 Phone: 401-585-4560 Fax: 845-840-1371 | |
Amy Modracek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 134 Thurbers Ave, Family Service Of Rhode Island, Providence, RI 02905 Phone: 401-331-1350 Fax: 401-277-3366 |