| Demetra Evrigenis, RD | |
|
18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 | |
| (623) 399-6825 | |
| (623) 505-3474 |
| Full Name | Demetra Evrigenis |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Location | 18001 N 79th Ave Ste A12, Glendale, Arizona |
| 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 |
|---|---|---|---|
| 1306561089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86291745 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Loft Pllc | 3274866371 | 13 |
| Provider Name | Health Loft PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912461799 PECOS PAC ID: 3274866371 Enrollment ID: O20190604003077 |
| Mailing Address | Practice Location Address |
|---|---|
| Demetra Evrigenis, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825 | Demetra Evrigenis, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825 |
Am Nutrition Services Dietitian Medicare: Medicare Enrolled Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Cara Jansen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Jacqueline Carbajal, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Kelly Creed, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 |
Jazmin Denise Mickens, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 |
Ms. Kaitlyn Marie Shannon, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 Phone: 602-341-5248 Fax: 602-702-5219 |
Ms. Kathryn Anne Mason, REGISTERED DIETITIAN Dietitian Medicare: Medicare Enrolled Practice Location: 17505 N 79th Ave, Suite 407, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |