Ms Dimereze Mary Clark, RD, LD is a
Dietitian, Registered based in Boothbay Harbor, Maine. Ms Dimereze Mary Clark is licensed to practice in Maine (license number D14) and her current practice location is
6 Saint Andrews Ln, Boothbay Harbor, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 633-2121.
NPI number for Ms Dimereze Mary Clark is 1144330432 and her current mailing address is 7 Wildernesss Dr, Boothbay, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144330432.
Healthcare Provider's Profile
Full Name | Ms Dimereze Mary Clark |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 6 Saint Andrews Ln, Boothbay Harbor, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144330432
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Dimereze Mary Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144330432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D14 (Maine) | 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. Ms Dimereze Mary Clark 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 |
Ms Dimereze Mary Clark, RD, LD 7 Wildernesss Dr, Boothbay, ME 04537-5022 Ph: (207) 633-3780 | Ms Dimereze Mary Clark, RD, LD 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 Ph: (207) 633-2121 |
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