Gwendolyn Shelly, RD | |
625 S Duke St, Lancaster, PA 17602-4509 | |
(717) 299-6371 | |
Not Available |
Full Name | Gwendolyn Shelly |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 625 S Duke St, Lancaster, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881998128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 000747-1 (New York) | Secondary |
133V00000X | Dietitian, Registered | DN007411 (Pennsylvania) | Primary |
Provider Name | Welsh Mountain Health Centers |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134458789 PECOS PAC ID: 8123914322 Enrollment ID: O20040608000860 |
Mailing Address | Practice Location Address |
---|---|
Gwendolyn Shelly, RD 304 N Water St, Lancaster, PA 17603-3374 Ph: (717) 299-6372 | Gwendolyn Shelly, RD 625 S Duke St, Lancaster, PA 17602-4509 Ph: (717) 299-6371 |
Miss Christina Ann Falicki, MPH, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 814 Rohrer Rd, Lancaster, PA 17603 Phone: 484-686-9031 | |
Registered Dieticians Dietitian Medicare: Not Enrolled in Medicare Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-5511 | |
Nutrition That Heals Dietitian Medicare: Not Enrolled in Medicare Practice Location: 618 1st St, Lancaster, PA 17603 Phone: 610-331-2671 | |
Universal Athletic Club Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2323 Oregon Pike, Lancaster, PA 17601 Phone: 717-569-5396 Fax: 717-569-4989 | |
Alyssa R Sobieray, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601 Phone: 717-291-8399 | |
Marie E Acebo, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-5511 | |
Sean Ward, RD Dietitian Medicare: Medicare Enrolled Practice Location: 250 College Ave, Lancaster, PA 17603 Phone: 717-291-8211 |