Ms Mollie Mcleod Tracy, RDN | |
2057 Dream Catcher Plz, Oneida, NY 13421-2729 | |
(315) 829-8700 | |
Not Available |
Full Name | Ms Mollie Mcleod Tracy |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 2057 Dream Catcher Plz, Oneida, 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 |
---|---|---|---|
1104489673 | NPI | - | NPPES |
01705682 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1046166 (New York) | Primary |
Provider Name | Oneida Indian Health Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831196716 PECOS PAC ID: 9133254584 Enrollment ID: O20200831002691 |
Mailing Address | Practice Location Address |
---|---|
Ms Mollie Mcleod Tracy, RDN 2057 Dream Catcher Plz, Oneida, NY 13421-2729 Ph: (315) 829-8700 | Ms Mollie Mcleod Tracy, RDN 2057 Dream Catcher Plz, Oneida, NY 13421-2729 Ph: (315) 829-8700 |
Mita Dutta Kohanski, RD Dietitian Medicare: Medicare Enrolled Practice Location: 321 Genesee St, Oneida, NY 13421 Phone: 315-361-2028 | |
Michael J Washo, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Territory Rd, Oneida, NY 13421 Phone: 315-829-8700 Fax: 315-829-8731 | |
Sharon A Hoff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 321 Genesee St, Oneida, NY 13421 Phone: 315-361-2028 Fax: 315-361-2328 |