Mrs Susan Generose, RD | |
135 Lafayette Ave, Palmerton, PA 18071-1518 | |
(610) 826-1150 | |
(610) 826-1211 |
Full Name | Mrs Susan Generose |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Metabolic |
Location | 135 Lafayette Ave, Palmerton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578843827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | DN000681 (Pennsylvania) | Primary |
Provider Name | Geisinger Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Provider Name | Caring Community Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679038293 PECOS PAC ID: 5698004588 Enrollment ID: O20190830001893 |
Mailing Address | Practice Location Address |
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Mrs Susan Generose, RD 10 Heritage Cir, Hazle Township, PA 18202-2905 Ph: (570) 401-5345 | Mrs Susan Generose, RD 135 Lafayette Ave, Palmerton, PA 18071-1518 Ph: (610) 826-1150 |
Kelly Ann Gombert, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 656 Delaware Ave, Palmerton, PA 18071 Phone: 484-707-4231 | |
Justina M Neff, RD Dietitian Medicare: Medicare Enrolled Practice Location: 614 Delaware Avenue, Palmerton, PA 18071 Phone: 272-639-5305 Fax: 866-449-5832 |