Elizabeth A Gallagher, RD | |
6 E Chestnut St, Augusta, ME 04330-5758 | |
(207) 626-1078 | |
Not Available |
Full Name | Elizabeth A Gallagher |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 6 E Chestnut St, Augusta, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669819686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DI1092 (Maine) | Primary |
Provider Name | Mainegeneral Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth A Gallagher, RD 157 Capitol St, Augusta, ME 04330-6231 Ph: (207) 621-9320 | Elizabeth A Gallagher, RD 6 E Chestnut St, Augusta, ME 04330-5758 Ph: (207) 626-1078 |
Danielle Viola Madore, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411 | |
Martin Peter Miller, R.D., C.D.E. Dietitian Medicare: Medicare Enrolled Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411 | |
Bridget Alice Amundsen, R.D,L.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Va Medical Center, (402/171), Augusta, ME 04330 Phone: 207-623-8411 | |
Tammy J Ricker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 157 Capitol St, Augusta, ME 04330 Phone: 207-621-9321 Fax: 207-621-9322 | |
Tamra R Knapp, LD Dietitian Medicare: Medicare Enrolled Practice Location: 6 E Chestnut St, Augusta, ME 04330 Phone: 207-626-1078 Fax: 207-622-2398 | |
Mrs. Diane Watne, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411 | |
Andrea Gatcomb, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411 Fax: 207-621-7315 |