| Maryellen Conway, RD | |
|
2800 Main St, Bridgeport, CT 06606-4201 | |
| (203) 576-6000 | |
| Not Available |
| Full Name | Maryellen Conway |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2800 Main St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639236482 | NPI | - | NPPES |
| 951365 | Other | CT | NATIONAL REGISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 000765 (Connecticut) | Primary |
| Provider Name | Michael Albert M D P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851015572 PECOS PAC ID: 0941678072 Enrollment ID: O20250424000535 |
| Provider Name | Virtual Medical Partners Of California P.c |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104498260 PECOS PAC ID: 6305230483 Enrollment ID: O20250429001471 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryellen Conway, RD 18 Horseshoe Ln, Westport, CT 06880-5031 Ph: (203) 576-6000 | Maryellen Conway, RD 2800 Main St, Bridgeport, CT 06606-4201 Ph: (203) 576-6000 |
Jacquelyn Davis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4553 | |
Ms. Amy Dicioccio, RD, CSO, CD-N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4553 Fax: 203-384-3578 | |
Sarah Noelle Lombino, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3070 | |
Nimesh Bhargava, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Deborah Ventricelli, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5208 | |
Miss Christina Conte, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 276 Grant Street, Food And Nutrition Services, Bridgeport, CT 06610 Phone: 203-384-4553 | |
Anne Worthington, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5545 |