| Mark Hanna, | |
|
35 Arden Rd, Old Bridge, NJ 08857-1829 | |
| (732) 589-2266 | |
| Not Available |
| Full Name | Mark Hanna |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 4 Years |
| Location | 35 Arden Rd, Old Bridge, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073322566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86170043 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nourish, Inc. | 1557724937 | 288 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Hanna, 3724 Jefferson St Ste 104, Austin, TX 78731-6204 Ph: Not Available | Mark Hanna, 35 Arden Rd, Old Bridge, NJ 08857-1829 Ph: (732) 589-2266 |
Jennifer Seleem, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Plz, Old Bridge, NJ 08857 Phone: 732-360-4129 |
Bhranti Atul Trivedi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Plz, Old Bridge, NJ 08857 Phone: 732-360-4158 |
Angela Yu, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5 Mariposa Pl, Old Bridge, NJ 08857 Phone: 732-277-7218 |
Mrs. Annmarie Mcdade, MS, RDN, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2 Hospital Plz Ste 420, Old Bridge, NJ 08857 Phone: 732-360-4070 Fax: 732-360-4071 |
Jimena L Gonzales, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 3f Brynwood Gdns Apt 34, Old Bridge, NJ 08857 Phone: 908-708-7211 |
Ms. Heather A Cunningham, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Plz, Old Bridge, NJ 08857 Phone: 732-324-5277 Fax: 732-324-4674 |
Viktoria Rusinova, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18 Daffodil Way, Old Bridge, NJ 08857 Phone: 718-300-1544 |