Jenna Bannon, MS, RD, CDN | |
301 E Main St, Bay Shore, NY 11706-8408 | |
(631) 968-3593 | |
Not Available |
Full Name | Jenna Bannon |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 15 Years |
Location | 301 E Main St, Bay Shore, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003157546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 0074641 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Provider Name | North Shore - Lij Medical Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Jenna Bannon, MS, RD, CDN 202 Cassa Loop, Holtsville, NY 11742-2609 Ph: () - | Jenna Bannon, MS, RD, CDN 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3593 |
Danielle Lee Deluca, R.D., C.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-987-4978 | |
Victoria Lucille Miranda, MS, RD, CPT Dietitian Medicare: Medicare Enrolled Practice Location: 250 E Main St, Bay Shore, NY 11706 Phone: 631-390-7100 Fax: 631-390-7128 | |
Daniela Contreras Enciso, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5 Woodbine Ave, Bay Shore, NY 11706 Phone: 631-418-4125 | |
Alexa Rae Ardito, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Ridgeway Blvd, Bay Shore, NY 11706 Phone: 631-697-7431 | |
Megan Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15 Park Ave, Bay Shore, NY 11706 Phone: 631-376-3699 | |
Empowered Beast Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1432 E Forks Rd, Bay Shore, NY 11706 Phone: 646-243-2868 |