Melissa Viscuso, RD | |
1101 Chestnut St, Phila, PA 19107-3612 | |
(215) 955-8900 | |
(215) 923-3447 |
Full Name | Melissa Viscuso |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1101 Chestnut St, Phila, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538652011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DN004726 (Pennsylvania) | Primary |
Provider Name | Jefferson University Physicians |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Mailing Address | Practice Location Address |
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Melissa Viscuso, RD 132 South 10th Street, 480 Main Building, Phila, PA 19107-5244 Ph: (215) 955-8900 | Melissa Viscuso, RD 1101 Chestnut St, Phila, PA 19107-3612 Ph: (215) 955-8900 |
Emily Rubin, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1101 Chestnut St, Phila, PA 19107 Phone: 215-955-8900 Fax: 215-955-5245 | |
Helene Waisbord, RD,LDN Dietitian Medicare: Medicare Enrolled Practice Location: 2701 Holme Ave Ste 104, Phila, PA 19152 Phone: 215-331-8897 Fax: 215-331-2044 | |
Katrina Burgess, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1512 South St, Phila, PA 19146 Phone: 267-699-8274 | |
Ms. Jacqueline Dwyer, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 S 9th St, Suite 600, Phila, PA 19107 Phone: 215-955-0453 | |
Andrea Spivack, MA, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Mezzanine/stunakrd Program, Phila, PA 19444 Phone: 215-746-4112 |