Mr Michael B Coseo, MS, RD, LD | |
1278 N. Lafayette Drive, Sumter, SC 29150 | |
(610) 906-2432 | |
Not Available |
Full Name | Mr Michael B Coseo |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 1278 N. Lafayette Drive, Sumter, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093200735 | NPI | - | NPPES |
DT1136 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1506 (South Carolina) | Primary |
Provider Name | Tandem Health Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386630192 PECOS PAC ID: 3870575855 Enrollment ID: O20040603000514 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael B Coseo, MS, RD, LD 1278 N. Lafayette Drive, Sumter, SC 29150 Ph: (610) 906-2432 | Mr Michael B Coseo, MS, RD, LD 1278 N. Lafayette Drive, Sumter, SC 29150 Ph: (610) 906-2432 |
Kelly Anne Hall, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8674 Fax: 803-774-8985 | |
Elizabeth Ellen Elliott, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8899 Fax: 803-774-8985 | |
Scott Cook, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8675 Fax: 803-774-8985 | |
Michael Crosier, Dietitian Medicare: Medicare Enrolled Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8676 | |
Tiffany Oster, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8674 |