Mary Ellen Banevedes, RDN, CDCES | |
101 N Irwin St Ste 205a, Hanford, CA 93230-4579 | |
(559) 572-2990 | |
(877) 655-6301 |
Full Name | Mary Ellen Banevedes |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 101 N Irwin St Ste 205a, Hanford, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558513234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 836115 (* (Not Available)) | Primary |
Provider Name | Mary Ellen B Nutrition Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588372510 PECOS PAC ID: 4587035811 Enrollment ID: O20230125001477 |
Mailing Address | Practice Location Address |
---|---|
Mary Ellen Banevedes, RDN, CDCES 2401 Teakwood Ct, Hanford, CA 93230-7230 Ph: (559) 572-2990 | Mary Ellen Banevedes, RDN, CDCES 101 N Irwin St Ste 205a, Hanford, CA 93230-4579 Ph: (559) 572-2990 |
Gelline Lois Martinez Galgana, MSA, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1025 N Douty St, Hanford, CA 93230 Phone: 559-537-0170 | |
Kelly Susan Cornelius, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 W 5th St, Hanford, CA 93230 Phone: 877-960-3426 | |
Susan M Yoshimura, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 515 W Grangeville Blvd, Hanford, CA 93230 Phone: 928-247-7309 | |
Mrs. Yvonne Astrid Toro-miranda, RD, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 515 W Grangeville Blvd, Hanford, CA 93230 Phone: 559-530-3396 | |
Jacy Beckenhauer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1025 N Douty St, Hanford, CA 93230 Phone: 559-537-0170 | |
Mr. Philip Anthony Mendoza, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9521 7th Ave, Hanford, CA 93230 Phone: 559-537-9008 |