| Diane Pezza, RD, LDN, CDE | |
|
593 Eddy St, Providence, RI 02903-4923 | |
| (401) 444-6966 | |
| (401) 444-5462 |
| Full Name | Diane Pezza |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 593 Eddy St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518031152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LDN00215 (Rhode Island) | Primary |
| Provider Name | Diabetes Education Partners Of Rhode Island |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154653541 PECOS PAC ID: 8022269810 Enrollment ID: O20121102000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Pezza, RD, LDN, CDE 167 Point St, Providence, RI 02903-4771 Ph: (401) 444-5640 | Diane Pezza, RD, LDN, CDE 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-6966 |
Miss Megan Naquin, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 439 Benefit St, Providence, RI 02903 Phone: 401-262-0841 | |
Jeannie Dorr, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, George Clinic, Providence, RI 02903 Phone: 401-444-3201 Fax: 401-444-6115 | |
Stephanie M O'donnell, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Mrs. Sarah E. W. Rambikur, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4847 | |
Eliza Mellion, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Exchange St, Providence, RI 02903 Phone: 617-505-1804 | |
Lifefit Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1 Augusta St, Providence, RI 02908 Phone: 401-585-4560 Fax: 845-840-1371 | |
Amy Modracek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 134 Thurbers Ave, Family Service Of Rhode Island, Providence, RI 02905 Phone: 401-331-1350 Fax: 401-277-3366 |