| Ava Fasano, RDN | |
|
3080 Hamilton Blvd Ste 200, Allentown, PA 18103-3692 | |
| (484) 661-4641 | |
| Not Available |
| Full Name | Ava Fasano |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3080 Hamilton Blvd Ste 200, Allentown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487249132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 10187 (Florida) | Secondary |
| 133V00000X | Dietitian, Registered | DN008234 (Pennsylvania) | Primary |
| Provider Name | Lehigh Valley Physician Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Provider Name | Hazleton Professional Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Ava Fasano, RDN 4937 Remington Dr, Coopersburg, PA 18036-1375 Ph: (484) 860-7840 | Ava Fasano, RDN 3080 Hamilton Blvd Ste 200, Allentown, PA 18103-3692 Ph: (484) 661-4641 |
Rachel Ackley, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 College Dr, Allentown, PA 18104 Phone: 610-437-4471 | |
Stephanie Eckelkamp, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1243 S Cedar Crest Blvd Ste 2400, Allentown, PA 18103 Phone: 610-402-3422 Fax: 610-402-4712 | |
Ms. Margaret A Shannon, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Lehigh Pkwy E, Suite 1f, Allentown, PA 18103 Phone: 610-799-6734 Fax: 610-821-1243 | |
Carrie L Gerencher, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8609 Fax: 610-402-1034 | |
Ms. Kathleen M. Hanuschak, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 South Cedar Crest Boulevard, Sodexo Administration Office, Allentown, PA 18103 Phone: 610-402-7949 Fax: 610-402-7460 | |
Jennifer L Stranzl, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 Cetronia Rd, Allentown, PA 18104 Phone: 610-973-6200 Fax: 866-644-0894 | |
Mrs. Renee Frances Selby, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8313 |