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145 Hospital Ave Ste 105, Du Bois, PA 15801-1463 | |
(814) 375-3890 | |
(814) 375-3893 |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 145 Hospital Ave Ste 105, Du Bois, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851794549 | NPI | - | NPPES |
3093208 | Other | PA | HIGHMARK ASSIGNMENT ACCOUNT |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DN002090 (Pennsylvania) | Primary |
Provider Name | Deloris Marie Gibson |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932742566 PECOS PAC ID: 1153756374 Enrollment ID: I20200116001955 |
Mailing Address | Practice Location Address |
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100 Hospital Ave, Du Bois, PA 15801-1440 Ph: (814) 375-6183 | 145 Hospital Ave Ste 105, Du Bois, PA 15801-1463 Ph: (814) 375-3890 |
Mrs. Ann Curtis, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 S Highland St, Du Bois, PA 15801 Phone: 814-371-5956 Fax: 814-371-5956 | |
Sara Beth Stone, MS RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16288 Treasure Lk, Du Bois, PA 15801 Phone: 409-363-1260 | |
Joyce A Kulick, R.D., L.D.N., C.D.E Dietitian Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave Ste 105, Du Bois, PA 15801 Phone: 814-375-3890 Fax: 814-375-3893 | |
Jeril Altmire Goss, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave, Suite 104, Du Bois, PA 15801 Phone: 814-375-3890 Fax: 814-375-6388 | |
Beth Aiello Goldbach, MS, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 Maple Ave, Du Bois, PA 15801 Phone: 814-375-6161 Fax: 814-375-6388 | |
Pao Y Hsiao, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-3591 |