| Longfellow Sports Club | |
|
203 Oak St, Longfellow Sports Club, Natick, MA 01760-1306 | |
| (508) 653-4633 | |
| (508) 650-4986 |
| Full Name | Longfellow Sports Club |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 203 Oak St, Natick, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972677326 | NPI | - | NPPES |
| 6300209 | Other | MA | UNITED HEALTH CARE |
| 5582051 | Other | MA | AETNA |
| 39410 | Other | MA | HARVARD PILGRIM HEALTH |
| 763282 | Other | MA | TUFTS |
| LD0022 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LDN1011 (Massachusetts) | Primary |
| Provider Name | Jane F Polley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124192505 PECOS PAC ID: 1052356201 Enrollment ID: I20050628000406 |
| Provider Name | Janna Yamron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093901563 PECOS PAC ID: 0042300071 Enrollment ID: I20071214000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Longfellow Sports Club 203 Oak St, Longfellow Sports Club, Natick, MA 01760-1306 Ph: (508) 653-4633 | Longfellow Sports Club 203 Oak St, Longfellow Sports Club, Natick, MA 01760-1306 Ph: (508) 653-4633 |
Hill Nutrition Consulting Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Ranger Rd, Natick, MA 01760 Phone: 508-653-6970 Fax: 508-653-6970 | |
Dianne Rishikof, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8 Floral Ave, Natick, MA 01760 Phone: 617-257-3611 | |
Miss Jane Frances Polley, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 203 Oak St, Longfellow Sports Club, Natick, MA 01760 Phone: 508-653-4633 Fax: 508-650-4986 | |
Dr. Steven Jac Todd Jackson, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15 Kansas Street, Bldg 42, Usariem-mnd, Natick, MA 01760 Phone: 508-233-5808 | |
Andrea Stein, M.S., R.D., LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 203 Oak St, Natick, MA 01760 Phone: 508-653-4633 | |
Mrs. Marie Anne Washek, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 83 Speen Street, Natick, MA 01760 Phone: 508-907-6543 | |
Ms. Trisha Brooke Stavinoha, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Building 42, Kansas Street, Natick, MA 01760 Phone: 508-233-4305 |