| Mary Johnson, RD | |
|
100 N Academy Ave, Danville, PA 17822-9800 | |
| (267) 987-2858 | |
| Not Available |
| Full Name | Mary Johnson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730238858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN002925 (New Jersey) | Primary |
| Provider Name | Geisinger Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Johnson, RD 602 Hill Ave, Langhorne, PA 19047-3951 Ph: (215) 750-1420 | Mary Johnson, RD 100 N Academy Ave, Danville, PA 17822-9800 Ph: (267) 987-2858 |
Ms. Denise K Hackman, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-5332 | |
Coryn Kalwanaski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-9032 | |
Ms. Allison M. Naylor, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6439 Fax: 570-271-6852 | |
Emma Wysocki, RDN, PHARMD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 814-659-9795 | |
Linfei Chen, RD Dietitian Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave # 15-09, Danville, PA 17822 Phone: 570-214-2390 | |
Ms. Karen Bird, M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Yelena Mariah Share, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6468 Fax: 570-271-7805 |