| Connie Wyatt, | |
|
1991 State Hill Rd, Wyomissing, PA 19610-1648 | |
| (484) 628-4270 | |
| (484) 628-4261 |
| Full Name | Connie Wyatt |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1991 State Hill Rd, Wyomissing, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285081265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN005416 (Pennsylvania) | Primary |
| Provider Name | Tower Health Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Provider Name | Reading Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992387518 PECOS PAC ID: 7618886490 Enrollment ID: O20040408001076 |
| Provider Name | Phoenixville Clinic Company Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891866182 PECOS PAC ID: 5799796850 Enrollment ID: O20060606000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Wyatt, Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-0796 | Connie Wyatt, 1991 State Hill Rd, Wyomissing, PA 19610-1648 Ph: (484) 628-4270 |
Corinne Wernick, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1991 State Hill Rd, Wyomissing, PA 19610 Phone: 610-988-4270 Fax: 610-988-4261 | |
Mrs. Elise Limper, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1001 Reed Ave, Wyomissing, PA 19610 Phone: 484-628-4270 | |
Nicole D'ulisse, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1220 Broadcasting Rd Ste 101, Wyomissing, PA 19610 Phone: 484-628-5673 | |
Sarah Clair, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1991 State Hill Rd, Wyomissing, PA 19610 Phone: 484-628-4270 Fax: 484-628-4261 | |
Kristen Clark, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1220 Broadcasting Rd Ste 101, Wyomissing, PA 19610 Phone: 610-371-8623 | |
Megan R Gallagher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1991 State Hill Rd, Wyomissing, PA 19610 Phone: 484-628-4270 |