| Autumn Makowski, | |
|
535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | |
| (508) 961-0695 | |
| Not Available |
| Full Name | Autumn Makowski |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 535 Faunce Corner Rd, Dartmouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598305856 | NPI | - | NPPES |
| 2934 | Other | MA | BOARD OF REGISTRATION FOR DIETITIAN AND NUTRTIONIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2934 (Massachusetts) | Primary |
| Provider Name | Steward St. Annes Hospital Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932411493 PECOS PAC ID: 3678760493 Enrollment ID: O20101206001124 |
| Provider Name | Steward Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821349317 PECOS PAC ID: 2860688728 Enrollment ID: O20130626000396 |
| Provider Name | Lifespan Physician Group Of Massachusetts Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Makowski, 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 Ph: (508) 961-0695 | Autumn Makowski, 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 Ph: (508) 961-0695 |
Mrs. Pamela D Bermudez, RD,LDN,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3 Leeward Ln, Dartmouth, MA 02748 Phone: 774-526-1586 Fax: 508-996-4783 | |
Crua Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 74 Faunce Corner Rd Ste 630, Dartmouth, MA 02747 Phone: 508-254-5639 |