Caryll Sue Defrate, RD,LDN,CDE is a
Dietitian, Registered based in Pleasant Gap, Pennsylvania. Caryll Sue Defrate is licensed to practice in Pennsylvania (license number 081011802) and her current practice location is
550 W College Ave, Pleasant Gap, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 359-3421.
NPI number for Caryll Sue Defrate is 1255571931 and her current mailing address is 550 W College Ave, Pleasant Gap, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255571931.
Healthcare Provider's Profile
Full Name | Caryll Sue Defrate |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 550 W College Ave, Pleasant Gap, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255571931
- Provider Enumeration Date: 02/20/2009
- Last Update Date: 02/20/2009
Medical Identifiers
Medical identifiers for Caryll Sue Defrate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255571931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 081011802 (Pennsylvania) | 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. Caryll Sue Defrate 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 |
Caryll Sue Defrate, RD,LDN,CDE 550 W College Ave, Pleasant Gap, PA 16823-7401 Ph: (814) 359-3421 | Caryll Sue Defrate, RD,LDN,CDE 550 W College Ave, Pleasant Gap, PA 16823-7401 Ph: (814) 359-3421 |
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