| Elizabeth A Gallagher, RD | |
| 
					6 E Chestnut St, Augusta, ME 04330-5758  | |
| (207) 626-1078 | |
| Not Available | 
| Full Name | Elizabeth A Gallagher | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 6 E Chestnut St, Augusta, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669819686 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI1092 (Maine) | Primary | 
| Provider Name | Mainegeneral Medical Center | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elizabeth A Gallagher, RD 157 Capitol St, Augusta, ME 04330-6231 Ph: (207) 621-9320  | Elizabeth A Gallagher, RD 6 E Chestnut St, Augusta, ME 04330-5758 Ph: (207) 626-1078  | 
Danielle Viola Madore, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411  | |
Martin Peter Miller, R.D., C.D.E. Dietitian Medicare: Medicare Enrolled Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411  | |
Bridget Alice Amundsen, R.D,L.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Va Medical Center, (402/171), Augusta, ME 04330 Phone: 207-623-8411  | |
Tammy J Ricker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 157 Capitol St, Augusta, ME 04330 Phone: 207-621-9321 Fax: 207-621-9322  | |
Tamra R Knapp, LD Dietitian Medicare: Medicare Enrolled Practice Location: 6 E Chestnut St, Augusta, ME 04330 Phone: 207-626-1078 Fax: 207-622-2398  | |
Mrs. Diane Watne, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411  | |
Justin Bakaian, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411  |