| Lisa Kelly, | |
|
809 Hunter Hwy Ste 5, Tunkhannock, PA 18657-8070 | |
| (570) 996-2700 | |
| (570) 996-2711 |
| Full Name | Lisa Kelly |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 18 Years |
| Location | 809 Hunter Hwy Ste 5, Tunkhannock, Pennsylvania |
| 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 |
|---|---|---|---|
| 1518732312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN004024 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3432 |
| Provider Name | Geisinger Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Provider Name | Caring Community Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679038293 PECOS PAC ID: 5698004588 Enrollment ID: O20190830001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Kelly, 15 Fred Dr, Tunkhannock, PA 18657-7717 Ph: (570) 407-2555 | Lisa Kelly, 809 Hunter Hwy Ste 5, Tunkhannock, PA 18657-8070 Ph: (570) 996-2700 |
Ms. Renee S. Winter-bertsch, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 Trieble Dr, Ste. 3, Tunkhannock, PA 18657 Phone: 570-996-2700 |
Marjorie Redan, R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 324 Woodland Way, Tunkhannock, PA 18657 Phone: 570-836-4669 |
Carla Morgese, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 880 Sr 6w, Tunkhannock, PA 18657 Phone: 570-996-1256 |