Courtney Niebauer, is a
Dietitian, Registered based in Mattapan, Massachusetts. Courtney Niebauer is licensed to practice in Massachusetts (license number 2502) and her current practice location is
1135 Morton St, Mattapan, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 533-2300.
NPI number for Courtney Niebauer is 1942508346 and her current mailing address is 1135 Morton St, Mattapan, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942508346.
Healthcare Provider's Profile
| Full Name | Courtney Niebauer |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1135 Morton St, Mattapan, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942508346
- Provider Enumeration Date: 03/09/2011
- Last Update Date: 03/09/2011
Medical Identifiers
Medical identifiers for Courtney Niebauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942508346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2502 (Massachusetts) | 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. Courtney Niebauer 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 |
|---|
Courtney Niebauer,
1135 Morton St,
Mattapan, MA 02126-2834
Ph: (617) 533-2300 | Courtney Niebauer,
1135 Morton St,
Mattapan, MA 02126-2834
Ph: (617) 533-2300 |
Reviews and Comments