| Katherine E Waltz, RD | |
|
1 Atwell Rd, Cooperstown, NY 13326-1301 | |
| (607) 547-3909 | |
| (607) 547-6325 |
| Full Name | Katherine E Waltz |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1 Atwell Rd, Cooperstown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447276951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 005538 (New York) | Primary |
| Provider Name | Mary Imogene Bassett Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Provider Name | Mary Imogene Bassett Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine E Waltz, RD Po Box 725, Cooperstown, NY 13326-0725 Ph: (607) 547-3909 | Katherine E Waltz, RD 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3909 |
Tara A Mcgovern, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3063 Fax: 607-547-6859 |
Holly A Hobbie-begeal, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3456 |
Mrs. Deborah Lee Faoro-rodrigues, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3539 Fax: 607-547-5605 |
Monica Tomazic, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3363 |
Dawn Abounader Chase, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3063 Fax: 607-547-3861 |
Olivia Gates, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-6665 |
Rachel Schappert, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3120 |