| Ms Theresa M Jerominek, MS, RD, CDOE | |
|
1170 Pontiac Ave, Cranston, RI 02920-7944 | |
| (401) 895-9937 | |
| (401) 296-3998 |
| Full Name | Ms Theresa M Jerominek |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1170 Pontiac Ave, Cranston, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992877393 | NPI | - | NPPES |
| 30844 | Other | RI | BCBSRI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LDN7242 (Massachusetts) | Secondary |
| 133V00000X | Dietitian, Registered | LDN00040 (Rhode Island) | Primary |
| Provider Name | The Miriam Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225073638 PECOS PAC ID: 6901796408 Enrollment ID: O20040625000150 |
| Provider Name | South County Psychiatry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003454034 PECOS PAC ID: 4880021658 Enrollment ID: O20200218000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theresa M Jerominek, MS, RD, CDOE 1170 Pontiac Ave, Cranston, RI 02920-7944 Ph: (401) 895-9937 | Ms Theresa M Jerominek, MS, RD, CDOE 1170 Pontiac Ave, Cranston, RI 02920-7944 Ph: (401) 895-9937 |
Mrs. Debra Anne Vincent, MA ,RDN,CDOE,CVDOE Dietitian Medicare: Medicare Enrolled Practice Location: 63 Sockanosset Cross Rd, Suite A, Cranston, RI 02920 Phone: 401-426-0018 Fax: 401-944-1812 | |
Kaitlin Frances Voicechovski, RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1145 Reservoir Ave Ste 126, Cranston, RI 02920 Phone: 401-228-6010 Fax: 401-228-8167 | |
Anthony Wayne Paris Jr., RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1370 Cranston St, Cranston, RI 02920 Phone: 401-943-4142 Fax: 401-943-4151 | |
Miss Emily Marie Tessier, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 51 Sockanosset Cross Rd Rm 205, Cranston, RI 02920 Phone: 508-294-2583 Fax: 401-223-6897 | |
Ri Rehab Dietitian Medicare: Not Enrolled in Medicare Practice Location: 721 Reservoir Ave, Cranston, RI 02910 Phone: 401-946-4250 Fax: 401-942-3960 | |
Mrs. Margaret Sharlene O'neill, RD,CDE Dietitian Medicare: May Accept Medicare Assignments Practice Location: 1145 Reservoir Ave, Cranston, RI 02820 Phone: 401-228-6010 Fax: 401-228-6010 | |
Karen J Fisher, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 114 Preston Dr, Cranston, RI 02910 Phone: 401-345-1068 |