Elliot Beadle, | |
1243 S Cedar Crest Blvd, Ste 2200, Allentown, PA 18103-6268 | |
(610) 402-5000 | |
(610) 402-8539 |
Full Name | Elliot Beadle |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 1243 S Cedar Crest Blvd, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306217609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DN005650 (Pennsylvania) | Primary |
Provider Name | Lehigh Valley Physician Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
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Elliot Beadle, Po Box 783311, Philadelphia, PA 19178-3311 Ph: () - | Elliot Beadle, 1243 S Cedar Crest Blvd, Ste 2200, Allentown, PA 18103-6268 Ph: (610) 402-5000 |
Andrea Julia Ross, PA-C Dietitian Medicare: Medicare Enrolled Practice Location: 1501 N Cedar Crest Blvd Ste 110, Allentown, PA 18104 Phone: 610-821-2828 | |
Rachel Ackley, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 College Dr, Allentown, PA 18104 Phone: 610-437-4471 | |
Ms. Margaret A Shannon, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Lehigh Pkwy E, Suite 1f, Allentown, PA 18103 Phone: 610-799-6734 Fax: 610-821-1243 | |
Carrie L Gerencher, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8609 Fax: 610-402-1034 | |
Ms. Kathleen M. Hanuschak, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 South Cedar Crest Boulevard, Sodexo Administration Office, Allentown, PA 18103 Phone: 610-402-7949 Fax: 610-402-7460 | |
Jennifer L Stranzl, RD Dietitian Medicare: Medicare Enrolled Practice Location: 250 Cetronia Rd, Allentown, PA 18104 Phone: 610-973-6200 Fax: 866-644-0894 | |
Mrs. Renee Frances Selby, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8313 |