Ms Gwendolyn Marie Eagan, MS, RD is a
Dietitian, Registered based in North Bennington, Vermont. Ms Gwendolyn Marie Eagan is licensed to practice in New York (license number 86168971) and her current practice location is
11 West St, North Bennington, Vermont. She can be reached at her office (for appointments etc.) via phone at
(518) 593-3318.
NPI number for Ms Gwendolyn Marie Eagan is 1689383820 and her current mailing address is 11 West St, North Bennington, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689383820.
Healthcare Provider's Profile
Full Name | Ms Gwendolyn Marie Eagan |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 11 West St, North Bennington, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689383820
- Provider Enumeration Date: 11/16/2022
- Last Update Date: 11/16/2022
Medical Identifiers
Medical identifiers for Ms Gwendolyn Marie Eagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689383820 | NPI | - | NPPES |
10151996 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86168971 (New York) | 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 Gwendolyn Marie Eagan 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 Gwendolyn Marie Eagan, MS, RD 11 West St, North Bennington, VT 05257-9405 Ph: (518) 593-3318 | Ms Gwendolyn Marie Eagan, MS, RD 11 West St, North Bennington, VT 05257-9405 Ph: (518) 593-3318 |
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