| Melanie Ann Baker, RD, LDN | |
|
45 Dimock St, Roxbury, MA 02119-1208 | |
| (617) 442-8800 | |
| (617) 442-5840 |
| Full Name | Melanie Ann Baker |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 22 Years |
| Location | 45 Dimock St, Roxbury, Massachusetts |
| 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 |
|---|---|---|---|
| 1598894719 | NPI | - | NPPES |
| AA51738 | Other | MA | HPHC |
| BE-MT0813 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 2122 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jordan Physician Associates Inc | 1254321086 | 153 |
| Provider Name | Jordan Physician Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538145131 PECOS PAC ID: 1254321086 Enrollment ID: O20040514000167 |
| Provider Name | Bid-milton Physician Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164060778 PECOS PAC ID: 7416375399 Enrollment ID: O20200909000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Ann Baker, RD, LDN 55 Dimock St, Roxbury, MA 02119-1029 Ph: (617) 442-8800 | Melanie Ann Baker, RD, LDN 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800 |
Siva Panchamoorthy, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 59 Townsend St, Roxbury, MA 02119 Phone: 617-989-8228 | |
Chuanchi Lin, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 59 Townsend St, Roxbury, MA 02119 Phone: 617-989-8228 | |
Kerry Mendes, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-989-3052 | |
Christopher Stephen Theberge, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 435 Warren St, Roxbury, MA 02119 Phone: 617-442-7400 |