Bonnie Defiore, RD | |
15 Challenger Dr, Lewiston, ME 04240-1041 | |
(207) 623-8411 | |
Not Available |
Full Name | Bonnie Defiore |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 15 Challenger Dr, Lewiston, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801491345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 59.001891 (Connecticut) | Secondary |
133V00000X | Dietitian, Registered | DI1638 (Maine) | Primary |
Provider Name | The Charlotte Hungerford Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
Mailing Address | Practice Location Address |
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Bonnie Defiore, RD 5 Lombard St, Gorham, ME 04038-1400 Ph: () - | Bonnie Defiore, RD 15 Challenger Dr, Lewiston, ME 04240-1041 Ph: (207) 623-8411 |
Mrs. Gwen Marie Scott, RD, LD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 287 Main St, Ste. 301, Lewiston, ME 04240 Phone: 207-795-7520 Fax: 207-795-7179 | |
Miss Jamie Ann Pepin, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-7520 Fax: 207-795-7179 | |
Danielle Claire Mowry, MS, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-5984 | |
Kara Kilmartin, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 12 High St Ste 400, Lewiston, ME 04240 Phone: 207-795-7520 | |
Katherine Alexis Davenport, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-8368 | |
Ms. Rachel Mcgarry, RD Dietitian Medicare: Medicare Enrolled Practice Location: 963 Sabattus St, Lewiston, ME 04240 Phone: 207-777-8625 | |
Haley Anne Sanborn, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 102 Campus Ave, Lewiston, ME 04240 Phone: 207-777-4200 |