Mrs Diana M Fedorisin, RD, LDN is a
Dietitian, Registered based in Lords Valley, Pennsylvania. Mrs Diana M Fedorisin is licensed to practice in Pennsylvania (license number DN004617) and her current practice location is
1677 Hemlock Farms, Lords Valley, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 257-0136.
NPI number for Mrs Diana M Fedorisin is 1760720726 and her current mailing address is 1677 Hemlock Farms, Lords Valley, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760720726.
Healthcare Provider's Profile
Full Name | Mrs Diana M Fedorisin |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1677 Hemlock Farms, Lords Valley, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760720726
- Provider Enumeration Date: 01/27/2013
- Last Update Date: 01/27/2013
Medical Identifiers
Medical identifiers for Mrs Diana M Fedorisin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760720726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN004617 (Pennsylvania) | 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. Mrs Diana M Fedorisin 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 |
Mrs Diana M Fedorisin, RD, LDN 1677 Hemlock Farms, Lords Valley, PA 18428-9069 Ph: (570) 257-0136 | Mrs Diana M Fedorisin, RD, LDN 1677 Hemlock Farms, Lords Valley, PA 18428-9069 Ph: (570) 257-0136 |
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