Cynthia Brantly, RD | |
1325 Louisville Ave, Monroe, LA 71201-6021 | |
(318) 807-1500 | |
(318) 807-1504 |
Full Name | Cynthia Brantly |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 25 Years |
Location | 1325 Louisville Ave, Monroe, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003346883 | NPI | - | NPPES |
2452304 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1158 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affinity Health Group, Llc | 9335226547 | 63 |
Provider Name | Affinity Health Group, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
Mailing Address | Practice Location Address |
---|---|
Cynthia Brantly, RD 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875 | Cynthia Brantly, RD 1325 Louisville Ave, Monroe, LA 71201-6021 Ph: (318) 807-1500 |
Sara W Dean, MS, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1325 Louisville Ave, Monroe, LA 71201 Phone: 318-807-1500 Fax: 318-807-1504 | |
Andi Holyfield, R.D, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3801 Chauvin Ln, Monroe, LA 71201 Phone: 318-387-2352 | |
Sallie S Wood, LDN,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 Desiard Plaza Dr, Monroe, LA 71203 Phone: 318-343-6100 | |
Ms. Linda Ann Massey, MS,LDN,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Calypso St, Monroe, LA 71201 Phone: 318-327-1900 Fax: 318-327-1901 | |
Miss Mary Dale Cornetta, LDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-327-4072 Fax: 318-327-4941 | |
Mary Virginia Norred, RD/LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1650 Desiard St, Monroe, LA 71201 Phone: 318-428-9361 Fax: 318-428-7200 |