Mr Gabriel Dan Mooney, RD is a
Dietitian, Registered based in Baudette, Minnesota. Mr Gabriel Dan Mooney is licensed to practice in Minnesota (license number 2912) and his current practice location is
600 Main Ave S, Baudette, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 634-2120.
NPI number for Mr Gabriel Dan Mooney is 1174840672 and his current mailing address is 600 Main Ave S, Baudette, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174840672.
Healthcare Provider's Profile
| Full Name | Mr Gabriel Dan Mooney |
|---|
| Gender | Male |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 600 Main Ave S, Baudette, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174840672
- Provider Enumeration Date: 04/23/2010
- Last Update Date: 04/26/2010
Medical Identifiers
Medical identifiers for Mr Gabriel Dan Mooney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174840672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2912 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gabriel Dan Mooney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Gabriel Dan Mooney, RD
600 Main Ave S,
Baudette, MN 56623-2855
Ph: (218) 634-2120 | Mr Gabriel Dan Mooney, RD
600 Main Ave S,
Baudette, MN 56623-2855
Ph: (218) 634-2120 |
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