Ilze Kiselis, MSRD LDN is a
Nutritionist based in Worcester, Massachusetts. Ilze Kiselis is licensed to practice in Massachusetts (license number 632) and her current practice location is
5 Neponset St, Worcester, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 852-6175.
NPI number for Ilze Kiselis is 1982702304 and her current mailing address is 5 Neponset St Fl Street12, Worcester, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982702304.
Healthcare Provider's Profile
| Full Name | Ilze Kiselis |
|---|
| Gender | Female |
|---|
| Speciality | Nutritionist |
|---|
| Location | 5 Neponset St, Worcester, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982702304
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 09/26/2018
Medical Identifiers
Medical identifiers for Ilze Kiselis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982702304 | NPI | - | NPPES |
| 67853 | Other | | FALLON COMMUNITY HEALTH P |
| LD0139 | Other | | BLUE CROSS |
| 042472266 | Other | | PRIVATE HEALTHCARE SYSTEM |
| AA16844 | Other | | HARVARD PILGRIM HEALTHCAR |
| 042472266 | Other | | THREE RIVERS |
| 7001600 | Other | | AETNA US HEALTHCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 632 (Massachusetts) | Secondary |
| 133N00000X | Nutritionist | 632 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ilze Kiselis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ilze Kiselis, MSRD LDN 5 Neponset St Fl Street12, Worcester, MA 01606-2714 Ph: (508) 852-6175 | Ilze Kiselis, MSRD LDN 5 Neponset St, Worcester, MA 01606-2714 Ph: (508) 852-6175 |
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