| Marcella R Canelo, REGISTERED DIETITIAN | |
|
2065 Ne Tucson Way Apt 110, Bend, OR 97701-5182 | |
| (541) 383-3005 | |
| (541) 383-1883 |
| Full Name | Marcella R Canelo |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 7 Years |
| Location | 2065 Ne Tucson Way Apt 110, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1568019644 | NPI | - | NPPES |
| 500768695 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-D-10200369 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mosaic Community Health | 5395653497 | 64 |
| Provider Name | Mosaic Community Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcella R Canelo, REGISTERED DIETITIAN Po Box 4228, Portland, OR 97208-4228 Ph: (541) 383-3005 | Marcella R Canelo, REGISTERED DIETITIAN 2065 Ne Tucson Way Apt 110, Bend, OR 97701-5182 Ph: (541) 383-3005 |
Karen Gnass, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Rachel Evon Elzinga, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2036 Ne Williamson Ct, Bend, OR 97701 Phone: 541-706-6348 | |
Stephanie Alice Russell, RDN, LD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 369 Ne Revere Ave Ste 105, Bend, OR 97701 Phone: 541-323-3488 Fax: 541-323-3483 | |
Mrs. Shelly Schwartz, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-408-6808 | |
Audrey Nicole Hester, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2200 Ne Professional Ct, Bend, OR 97701 Phone: 541-389-6313 Fax: 541-389-8760 | |
Mrs. Heather Ann Helmy, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19252 Goose Creek Ct, Bend, OR 97702 Phone: 503-913-6042 | |
Gabrielle Wade Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Skyliner Summit Loop, Bend, OR 97703 Phone: 914-473-8949 |