Brooke Danielle Massa, MS, RD is a
Dietitian, Registered based in Troy, Illinois. Brooke Danielle Massa is licensed to practice in Missouri (license number 2022001602) and her current practice location is
7853 Zenk Rd, Troy, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 420-0635.
NPI number for Brooke Danielle Massa is 1396468914 and her current mailing address is 7853 Zenk Rd, Troy, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396468914.
Healthcare Provider's Profile
Full Name | Brooke Danielle Massa |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 7853 Zenk Rd, Troy, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396468914
- Provider Enumeration Date: 09/20/2022
- Last Update Date: 09/20/2022
Medical Identifiers
Medical identifiers for Brooke Danielle Massa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396468914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164008661 (Illinois) | Secondary |
133V00000X | Dietitian, Registered | 2022001602 (Missouri) | 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. Brooke Danielle Massa 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 |
Brooke Danielle Massa, MS, RD 7853 Zenk Rd, Troy, IL 62294-2325 Ph: (618) 420-0635 | Brooke Danielle Massa, MS, RD 7853 Zenk Rd, Troy, IL 62294-2325 Ph: (618) 420-0635 |
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