| Lyssa Merriam Petter, MS,RD,LDN | |
|
Caritas Holy Family Hospital 70 East Street, Convent Building, Methuen, MA 01844 | |
| (978) 687-0156 | |
| (978) 681-9075 |
| Full Name | Lyssa Merriam Petter |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | Caritas Holy Family Hospital 70 East Street, Methuen, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710086277 | NPI | - | NPPES |
| 701743 | Other | MA | CDR ID # |
| 826 | Other | MA | DIETITIAN LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 826 (Massachusetts) | Primary |
| Provider Name | Steward Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Provider Name | Steward Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Provider Name | Lifespan Physician Group Of Massachusetts Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyssa Merriam Petter, MS,RD,LDN 13 Pinecrest Rd, Andover, MA 01810-5712 Ph: (978) 687-0156 | Lyssa Merriam Petter, MS,RD,LDN Caritas Holy Family Hospital 70 East Street, Convent Building, Methuen, MA 01844 Ph: (978) 687-0156 |
Caritas Valley Regional Medical Services Corp Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9 Branch St, Methuen, MA 01844 Phone: 978-683-9177 Fax: 978-688-8679 | |
Mrs. Anne L Bradley, RD- CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 70 East St, G-4, Methuen, MA 01844 Phone: 978-687-0156 Fax: 978-685-5793 | |
Kelly Thompson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Richard Ave, Methuen, MA 01844 Phone: 413-461-6679 | |
Mrs. Beth S Cronin, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 70 East St, G-4, Methuen, MA 01844 Phone: 978-687-0156 Fax: 978-685-5793 | |
Hew Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 69 Clayton Ave, Methuen, MA 01844 Phone: 978-494-0110 | |
Rena E. Rudy, MS,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-687-0156 |