Tracy Cardelli, RD is a
Dietitian, Registered based in So Portland, Maine. Tracy Cardelli is licensed to practice in Maine (license number D1438) and her current practice location is
39 Wallace Ave, So Portland, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 761-0650.
NPI number for Tracy Cardelli is 1962442368 and her current mailing address is 887 Congress St, Suite 320, Portland, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962442368.
Healthcare Provider's Profile
| Full Name | Tracy Cardelli |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 39 Wallace Ave, So Portland, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962442368
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 06/03/2013
Medical Identifiers
Medical identifiers for Tracy Cardelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962442368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | D1438 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Cardelli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracy Cardelli, RD
887 Congress St, Suite 320,
Portland, ME 04102-3100
Ph: (207) 662-5522 | Tracy Cardelli, RD
39 Wallace Ave,
So Portland, ME 04106-6143
Ph: (207) 761-0650 |
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