Diabetic Education And Optifast Program is a
Internal Medicine - Endocrinology, Diabetes & Metabolism based in Rochester, New York. Diabetic Education And Optifast Program is licensed to practice in * (Not Available) (license number ) and their current practice location is
224 Alexander St, Suite # 200, Rochester, New York. It can be reached at their office (for appointments etc.) via phone at
(585) 922-8400.
NPI number for Diabetic Education And Optifast Program is 1972851483 and their current mailing address is 224 Alexander St, Suite # 200, Rochester, New York. Diabetic Education And Optifast Program
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1972851483.
Healthcare Provider's Profile
| Full Name | Diabetic Education And Optifast Program |
|---|
| Type | Facility |
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| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
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| Location | 224 Alexander St, Rochester, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972851483
- Provider Enumeration Date: 08/15/2012
- Last Update Date: 06/24/2014
Medical Identifiers
Medical identifiers for Diabetic Education And Optifast Program such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972851483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Secondary |
| 163WN1003X | Registered Nurse - Nutrition Support | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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. Diabetic Education And Optifast Program 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 |
|---|
Diabetic Education And Optifast Program
224 Alexander St, Suite # 200,
Rochester, NY 14607-4000
Ph: (585) 922-8400 | Diabetic Education And Optifast Program
224 Alexander St, Suite # 200,
Rochester, NY 14607-4000
Ph: (585) 922-8400 |
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