Ms Jessica Decostole, MS, RDN, LDN, CDE | |
5601 Loch Raven Blvd, Good Health Center 2nd Floor, Baltimore, MD 21238 | |
(443) 444-4912 | |
(443) 444-4884 |
Full Name | Ms Jessica Decostole |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 12 Years |
Location | 5601 Loch Raven Blvd, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801280417 | NPI | - | NPPES |
DX3562 | Other | MD | THE BOARD OF DIETETIC PRACTICE OF THE STATE OF MARYLAND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DX3562 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greater Baltimore Medical Center Inc | 1759276975 | 307 |
Provider Name | Greater Baltimore Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
Provider Name | Medstar Medical Group Ii Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
Mailing Address | Practice Location Address |
---|---|
Ms Jessica Decostole, MS, RDN, LDN, CDE 736 S Ellwood Ave, Baltimore, MD 21224-3949 Ph: (347) 992-4041 | Ms Jessica Decostole, MS, RDN, LDN, CDE 5601 Loch Raven Blvd, Good Health Center 2nd Floor, Baltimore, MD 21238 Ph: (443) 444-4912 |
Elizabeth Mccahill, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 800 Linden Ave, Baltimore, MD 21201 Phone: 443-552-2432 | |
Deborah Kay Adams, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 N Greene St, Baltimore, MD 21201 Phone: 410-605-7000 Fax: 410-605-7835 | |
Indira Kariyappa Devadas, MS., RD., LD. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3900 Loch Raven Blvd, Baltimore, MD 21218 Phone: 410-605-7502 | |
Lifebridge Health And Fitness Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1836 Greene Tree Rd, Baltimore, MD 21208 Phone: 410-484-6800 | |
Erin Gager, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 410-955-1637 | |
Mr. Eugene Richard Arnold Iii, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 410-955-1637 | |
Leigh Tracy, Dietitian Medicare: Medicare Enrolled Practice Location: 250 N Calvert St Lowr Level, Baltimore, MD 21202 Phone: 410-332-4847 |