Mrs Celia Agudelo, RD, LDN | |
1500 5th Ave, A Level Crawford Building, Mckeesport, PA 15132-2422 | |
(412) 664-6736 | |
(412) 664-2284 |
Full Name | Mrs Celia Agudelo |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1500 5th Ave, Mckeesport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538524707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DN004542 (Pennsylvania) | Primary |
Provider Name | Case Specific Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750758561 PECOS PAC ID: 6507164647 Enrollment ID: O20160406000900 |
Mailing Address | Practice Location Address |
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Mrs Celia Agudelo, RD, LDN 1500 5th Ave, A Level Crawford Building, Mckeesport, PA 15132-2422 Ph: (412) 664-6736 | Mrs Celia Agudelo, RD, LDN 1500 5th Ave, A Level Crawford Building, Mckeesport, PA 15132-2422 Ph: (412) 664-6736 |
Carla Dejesus, MS, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Fifth Ave, 485 Crawford - Lions Diabetes Center, Mckeesport, PA 15132 Phone: 412-664-3055 Fax: 412-664-2006 | |
Meridith M Paterson, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1305 Fifth Ave, Mckeesport, PA 15132 Phone: 412-675-3123 | |
Michelle Fichtner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4201 Walnut St, Mckeesport, PA 15132 Phone: 412-664-1448 |