Melissa Acosta, | |
6300 Main St, Zachary, LA 70791-4037 | |
(225) 658-4347 | |
Not Available |
Full Name | Melissa Acosta |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 6300 Main St, Zachary, Louisiana |
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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1093435976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Hospital Service District #1 Of East Baton Rouge Parish |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962437681 PECOS PAC ID: 0941191902 Enrollment ID: O20040322000429 |
Mailing Address | Practice Location Address |
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Melissa Acosta, 6300 Main St, Zachary, LA 70791-4037 Ph: () - | Melissa Acosta, 6300 Main St, Zachary, LA 70791-4037 Ph: (225) 658-4347 |
Katelyn Bailey, RD Dietitian Medicare: Medicare Enrolled Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4428 | |
Lane Regional Medical Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4347 | |
Mary A Clavelle, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6351 Main St, Zachary, LA 70791 Phone: 225-306-2000 |