| Elliot David Mezera, BS, RD, LD, CD | |
|
2430 Nicollet Ave, Minneapolis, MN 55404-3461 | |
| (612) 871-7443 | |
| Not Available |
| Full Name | Elliot David Mezera |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 10 Years |
| Location | 2430 Nicollet Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285501411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3067-29 (Wisconsin) | Secondary |
| 133V00000X | Dietitian, Registered | 3820 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Provider Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot David Mezera, BS, RD, LD, CD 6304 W 39th St, Minneapolis, MN 55416-2705 Ph: Not Available | Elliot David Mezera, BS, RD, LD, CD 2430 Nicollet Ave, Minneapolis, MN 55404-3461 Ph: (612) 871-7443 |
Kelly Scheller Williams, Dietitian Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-3216 |
Sarah E Johnson, RD LD Dietitian Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 |
Christina Manian, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Harvard St Se, Minneapolis, MN 55455 Phone: 612-273-5188 |
Laura C H Hanson, MS, RD, LN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3693 Fax: 612-904-4326 |
Mr. Adam Joseph Kuchnia, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-0069 |
Aimee M Tritt, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 |
Timothy Baebenroth, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-2004 |