Ms Jessica Masterson, RDN, CDN, CDE | |
1207 Delaware Ave Ste 114, Buffalo, NY 14209-1458 | |
(716) 704-0684 | |
(716) 625-1236 |
Full Name | Ms Jessica Masterson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1207 Delaware Ave Ste 114, Buffalo, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578702619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 0066331 (New York) | Primary |
Provider Name | Wheeler Clinic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
Mailing Address | Practice Location Address |
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Ms Jessica Masterson, RDN, CDN, CDE Po Box 831, Grand Island, NY 14072-0831 Ph: (716) 704-0684 | Ms Jessica Masterson, RDN, CDN, CDE 1207 Delaware Ave Ste 114, Buffalo, NY 14209-1458 Ph: (716) 704-0684 |
Stephanie Ann Lomas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 | |
Tara Lyn Cloutier, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 307 East St, Buffalo, NY 14207 Phone: 716-860-1731 | |
Ms. Barbara A Sylvester, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 3 Gates Cir, Buffalo, NY 14209 Phone: 716-887-5385 | |
Mrs. Lisa M. Bradt, RD, CSR, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Delaware Ave, Suite 100, Buffalo, NY 14202 Phone: 716-903-3730 | |
Matthew Pellerite, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Niagara St, Buffalo, NY 14201 Phone: 716-242-8600 Fax: 716-332-0832 | |
Perizat Adylbekova, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Robin Rd, Buffalo, NY 14228 Phone: 716-320-0303 | |
Traci Punturiero, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 219 Bryant Street, Buffalo, NY 14222 Phone: 716-878-7893 |