| Jennifer Boomhower, RD, CSR, CDN | |
|
Berkshire Medical Center, 725 North St, Pittsfield, MA 01201-4109 | |
| (413) 447-2000 | |
| Not Available |
| Full Name | Jennifer Boomhower |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | Berkshire Medical Center, Pittsfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336550326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 005602 (New York) | Primary |
| Provider Name | Berkshire Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088 |
| Provider Name | North Adams Regional Hospital Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316727761 PECOS PAC ID: 2961846886 Enrollment ID: O20240410002251 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Boomhower, RD, CSR, CDN 725 North St, Pittsfield, MA 01201-4124 Ph: () - | Jennifer Boomhower, RD, CSR, CDN Berkshire Medical Center, 725 North St, Pittsfield, MA 01201-4109 Ph: (413) 447-2000 |
Jane Marie Leprevost, RD, MA, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2676 | |
Ms. Michelle Kirsten Nash, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 165 Tor Ct, Pittsfield, MA 01201 Phone: 413-997-5899 Fax: 413-997-5804 | |
Danielle Beauchemin, RD Dietitian Medicare: Medicare Enrolled Practice Location: 725 North St # 307, Pittsfield, MA 01201 Phone: 413-395-7942 Fax: 413-395-7502 | |
Mrs. Jan Salzer-ogden, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 725 North St, Berkshire Medical Center Nutrition Dept., Pittsfield, MA 01201 Phone: 413-445-9308 Fax: 413-395-7502 | |
Miss Julie Ellen Barbour, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2000 | |
Shaun M Fox, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 510 North St Ste 6, Pittsfield, MA 01201 Phone: 413-445-9243 | |
Jessica Marie Holley, LDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2000 |