| Kelly Myers, RDN, CDN | |
|
2605 Harlem Rd, Buffalo, NY 14225-4018 | |
| (716) 891-2703 | |
| Not Available |
| Full Name | Kelly Myers |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 4 Years |
| Location | 2605 Harlem Rd, Buffalo, New York |
| 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 |
|---|---|---|---|
| 1558091264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 010976 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Custom Dietetics Pc | 1456377738 | 5 |
| Provider Name | Sisters Of Charity Hospital Of Buffalo New York |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557 |
| Provider Name | Custom Dietetics Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063596880 PECOS PAC ID: 1456377738 Enrollment ID: O20051017000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Myers, RDN, CDN 2605 Harlem Rd, Buffalo, NY 14225-4018 Ph: (716) 891-2703 | Kelly Myers, RDN, CDN 2605 Harlem Rd, Buffalo, NY 14225-4018 Ph: (716) 891-2703 |
Stephanie Ann Lomas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 | |
Tara Lyn Cloutier, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 307 East St, Buffalo, NY 14207 Phone: 716-860-1731 | |
Ms. Barbara A Sylvester, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 3 Gates Cir, Buffalo, NY 14209 Phone: 716-887-5385 | |
Mrs. Lisa M. Bradt, RD, CSR, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Delaware Ave, Suite 100, Buffalo, NY 14202 Phone: 716-903-3730 | |
Matthew Pellerite, RD Dietitian Medicare: Medicare Enrolled Practice Location: 300 Niagara St, Buffalo, NY 14201 Phone: 716-242-8600 Fax: 716-332-0832 | |
Perizat Adylbekova, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Robin Rd, Buffalo, NY 14228 Phone: 716-320-0303 | |
Traci Punturiero, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 219 Bryant Street, Buffalo, NY 14222 Phone: 716-878-7893 |