Connie L Mclellan, RD, LD is a
Dietitian, Registered based in Fort Kent, Maine. Connie L Mclellan is licensed to practice in Maine (license number DI96) and her current practice location is
3 Mountainview Dr., Fort Kent, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 834-1569.
NPI number for Connie L Mclellan is 1386854560 and her current mailing address is 194 E Main St, Fort Kent, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386854560.
Healthcare Provider's Profile
| Full Name | Connie L Mclellan |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 3 Mountainview Dr., Fort Kent, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386854560
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 11/12/2009
Medical Identifiers
Medical identifiers for Connie L Mclellan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386854560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DI96 (Maine) | 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. Connie L Mclellan 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 |
|---|
Connie L Mclellan, RD, LD
194 E Main St,
Fort Kent, ME 04743-1428
Ph: (207) 834-1569 | Connie L Mclellan, RD, LD
3 Mountainview Dr.,
Fort Kent, ME 04743-1409
Ph: (207) 834-1569 |
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