| Benedicte Disamb, RDN,LD | |
|
11120 Boyne Ave, Haslet, TX 76052-1541 | |
| (703) 863-6284 | |
| Not Available |
| Full Name | Benedicte Disamb |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 10 Years |
| Location | 11120 Boyne Ave, Haslet, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962380386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86098841 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surely Health Inc | 3072960491 | 47 |
| Surely Health Inc | 3072960491 | 47 |
| Provider Name | Surely Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053078360 PECOS PAC ID: 3072960491 Enrollment ID: O20231116003130 |
| Provider Name | Season Clinical Care PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649933565 PECOS PAC ID: 4688015050 Enrollment ID: O20250226002644 |
| Mailing Address | Practice Location Address |
|---|---|
| Benedicte Disamb, RDN,LD 11120 Boyne Ave, Haslet, TX 76052-1541 Ph: (703) 863-6284 | Benedicte Disamb, RDN,LD 11120 Boyne Ave, Haslet, TX 76052-1541 Ph: (703) 863-6284 |
Kelly Olson, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1116 Varson Dr, Haslet, TX 76052 Phone: 817-583-1499 |
Sarah Moyer, R.D, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14048 Wrangler Way, Haslet, TX 76052 Phone: 214-799-8752 |
Jerioth Muthoni Karua, MCN, RDN, LD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 1944 Kelva Dr, Haslet, TX 76052 Phone: 409-504-7044 |
Jessica Collette, RDN,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13108 Willow Tree Ct, Haslet, TX 76052 Phone: 580-919-3008 |