| Kyle Trexler, RDN | |
|
560 Pierce St, Kingston, PA 18704-5716 | |
| (570) 283-2161 | |
| (570) 714-0670 |
| Full Name | Kyle Trexler |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 560 Pierce St, Kingston, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780360776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Pennsylvania) | Secondary |
| 133V00000X | Dietitian, Registered | DN008217 (Pennsylvania) | Primary |
| Provider Name | Geisinger Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Trexler, RDN 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Kyle Trexler, RDN 560 Pierce St, Kingston, PA 18704-5716 Ph: (570) 283-2161 |
Dr. Pamela Charney, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 499 Wyoming Ave, Kingston, PA 18704 Phone: 570-714-3050 Fax: 570-714-3055 |
Mrs. Jill Marie Stevens, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 560 Pierce St, Kingston, PA 18704 Phone: 570-283-2161 |
Ms. Brooke Michelle Evans, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 480 Pierce St Ste 201, Kingston, PA 18704 Phone: 888-862-0803 Fax: 888-862-0803 |
Mr. Samuel R Walker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 675 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-4205 |
Kelsey Marie Banfield, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 480 Pierce St, Kingston, PA 18704 Phone: 570-815-0462 |
Intermountain Medical Group, Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 610 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-5441 Fax: 570-288-5842 |
Mrs. Jenifer Marie Habeeb, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 534 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-7150 Fax: 570-552-7152 |