Ms Tasha Dershem, RD | |
100 N Academy Ave, Danville, PA 17822-2111 | |
(570) 271-6211 | |
Not Available |
Full Name | Ms Tasha Dershem |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 100 N Academy Ave, Danville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891740312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DN002099 (Pennsylvania) | Primary |
Provider Name | Geisinger Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
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Ms Tasha Dershem, RD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Ms Tasha Dershem, RD 100 N Academy Ave, Danville, PA 17822-2111 Ph: (570) 271-6211 |
Ms. Denise K Hackman, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-5332 | |
Coryn Kalwanaski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-9032 | |
Ms. Allison M. Naylor, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6439 Fax: 570-271-6852 | |
Emma Wysocki, RDN, PHARMD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 814-659-9795 | |
Ms. Karen Bird, M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Yelena Mariah Share, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6468 Fax: 570-271-7805 | |
Tammy L Mccormick, RD Dietitian Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6468 |