| Cynthia Brantly, RD | |
|
1325 Louisville Ave, Monroe, LA 71201-6021 | |
| (318) 807-1500 | |
| (318) 807-1504 |
| Full Name | Cynthia Brantly |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 27 Years |
| Location | 1325 Louisville Ave, Monroe, Louisiana |
| 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 |
|---|---|---|---|
| 1003346883 | NPI | - | NPPES |
| 2452304 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1158 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baton Rouge Clinic, A Medical Corporation | 1254317001 | 266 |
| Provider Name | Baton Rouge Clinic, A Medical Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871546911 PECOS PAC ID: 1254317001 Enrollment ID: O20040624000911 |
| Provider Name | Affinity Health Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Brantly, RD 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875 | Cynthia Brantly, RD 1325 Louisville Ave, Monroe, LA 71201-6021 Ph: (318) 807-1500 |
Sara W Dean, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1325 Louisville Ave, Monroe, LA 71201 Phone: 318-807-1500 Fax: 318-807-1504 | |
Andi Holyfield, R.D, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3801 Chauvin Ln, Monroe, LA 71201 Phone: 318-387-2352 | |
Anytime Rd Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2309 Oliver Rd, Monroe, LA 71201 Phone: 318-557-6914 | |
Sallie S Wood, LDN,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 Desiard Plaza Dr, Monroe, LA 71203 Phone: 318-343-6100 | |
Ms. Linda Ann Massey, MS,LDN,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Calypso St, Monroe, LA 71201 Phone: 318-327-1900 Fax: 318-327-1901 | |
Miss Mary Dale Cornetta, LDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-327-4072 Fax: 318-327-4941 |