| Ms Jennifer E Hall, RD | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (774) 441-7615 | |
| (508) 856-1540 |
| Full Name | Ms Jennifer E Hall |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 55 Lake Ave N, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346334323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1775 (Massachusetts) | Primary |
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 1775 (Massachusetts) | Secondary |
| Provider Name | Umass Memorial Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689760092 PECOS PAC ID: 6204745904 Enrollment ID: O20031126000444 |
| Provider Name | Umass Memorial Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer E Hall, RD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Ms Jennifer E Hall, RD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 441-7615 |
Ms. Ashley Jermaine Wight, RD Dietitian Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-3411 | |
Lindsey M. Gesualdi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 630 Plantation St, Worcester, MA 01605 Phone: 508-852-6175 Fax: 508-595-2941 | |
Mackenzie Souza, MS, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-3435 | |
Abigail Boatemaa, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Queen St, Worcester, MA 01610 Phone: 978-868-7964 | |
Colleen Daly, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 60 Wrentham Rd, Worcester, MA 01602 Phone: 508-404-8103 | |
Jennifer Parker, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-1000 | |
Kasandra P Reid, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 44 Portland St Fl 1, Worcester, MA 01608 Phone: 617-249-3253 |