Mary J Obenreder, LDN | |
1 Hospital Dr, Clarion, PA 16214-8501 | |
(814) 226-3416 | |
(814) 226-1457 |
Full Name | Mary J Obenreder |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1 Hospital Dr, Clarion, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679540801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DN001372 (Pennsylvania) | Primary |
Provider Name | Clarion Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730121641 PECOS PAC ID: 7618923293 Enrollment ID: O20050411000301 |
Mailing Address | Practice Location Address |
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Mary J Obenreder, LDN 1192 Treasure Lk, Du Bois, PA 15801-9028 Ph: () - | Mary J Obenreder, LDN 1 Hospital Dr, Clarion, PA 16214-8501 Ph: (814) 226-3416 |
Pennsylvania Western University Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1008 S 5th Ave, Clarion, PA 16214 Phone: 814-297-8220 Fax: 814-297-8381 | |
Ms. Alice Louise Thurau, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 825 E Main St, Renal Care Of Clarion, Clarion, PA 16214 Phone: 814-223-4655 | |
Kristine Lewis, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1145 N Mayfield Dr, Clarion, PA 16214 Phone: 330-232-9463 |