| Mira Bella Coleman, RDN | |
|
85 Middlesex Tpke Ste 3110, Burlington, MA 01803-5380 | |
| (781) 744-7351 | |
| (781) 744-7966 |
| Full Name | Mira Bella Coleman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 85 Middlesex Tpke Ste 3110, Burlington, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255043428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 5701-NU-NU (Massachusetts) | Secondary |
| 133V00000X | Dietitian, Registered | LDN5701 (Massachusetts) | Primary |
| Provider Name | Lahey Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Provider Name | Lahey Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Bella Coleman, RDN 85 Middlesex Tpke Ste 3110, Burlington, MA 01803-5380 Ph: (781) 744-7351 | Mira Bella Coleman, RDN 85 Middlesex Tpke Ste 3110, Burlington, MA 01803-5380 Ph: (781) 744-7351 |
Stacy Morig, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-1485 | |
Miss Jacqueline Michelle Little, RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8771 | |
Timofey S. Boykov, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Road, Burlington, MA 01805 Phone: 781-744-5100 | |
Tialyn Eakman, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 85 Middlesex Tpke, Burlington, MA 01803 Phone: 781-744-7351 | |
Katie Bradford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 418 Farms Dr, Burlington, MA 01803 Phone: 617-233-7802 | |
Debra A Rahilly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Mr. Andrew Parnell, RD, LDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-1485 |