Ms Ann Marie Elizabeth Kretchik, MS, RD, LDN | |
203 Brooklyn St, Carbondale, PA 18407-2801 | |
(570) 267-6594 | |
Not Available |
Full Name | Ms Ann Marie Elizabeth Kretchik |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 203 Brooklyn St, Carbondale, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790318053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DN005393 (Pennsylvania) | Primary |
Provider Name | Wayne Memorial Community Health Centers |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
Mailing Address | Practice Location Address |
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Ms Ann Marie Elizabeth Kretchik, MS, RD, LDN 203 Brooklyn St, Carbondale, PA 18407-2801 Ph: (570) 267-6594 | Ms Ann Marie Elizabeth Kretchik, MS, RD, LDN 203 Brooklyn St, Carbondale, PA 18407-2801 Ph: (570) 267-6594 |
Dana L Kearney, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 82 N Main St, Carbondale, PA 18407 Phone: 570-282-2210 | |
Mrs. Jill Fabri, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 100 Lincoln Ave, Carbondale, PA 18407 Phone: 570-281-1024 Fax: 570-281-5392 | |
Mrs. Nicole Coppola, MS,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Lincoln Ave, Carbondale, PA 18407 Phone: 570-281-1024 Fax: 570-281-5392 |