| Mikiko Demura Marzilli, MS LD | |
|
905 Union St, Suite 11, Bangor, ME 04401-3050 | |
| (207) 973-7364 | |
| Not Available |
| Full Name | Mikiko Demura Marzilli |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 11 Years |
| Location | 905 Union St, Bangor, Maine |
| 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 |
|---|---|---|---|
| 1205373578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | TD1334 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Maine Medical Center | 2062315161 | 596 |
| Provider Name | Eastern Maine Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikiko Demura Marzilli, MS LD 43 Whiting Hill Rd, Ste 300, Brewer, ME 04412-1005 Ph: (207) 973-5035 | Mikiko Demura Marzilli, MS LD 905 Union St, Suite 11, Bangor, ME 04401-3050 Ph: (207) 973-7364 |
Lauri Jacobs, RD,CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 905 Union St, Suite 11, Bangor, ME 04401 Phone: 207-973-7334 Fax: 207-973-7424 | |
Rd 207, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6 State St Ste 607, Bangor, ME 04401 Phone: 207-460-0550 | |
Mellisa A Bernardini, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6 Telcom Dr, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365 | |
Ms. Emily Mae Lavertu, MS LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 905 Union St Ste 11, Bangor, ME 04401 Phone: 207-973-4940 | |
Katherine Anne Lachance, TLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 905 Union St, Suite 11, Bangor, ME 04401 Phone: 207-973-7334 Fax: 207-973-7424 | |
Ms. Elaina Hopkins, REGISTERED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 103 Texas Ave, Bangor, ME 04401 Phone: 207-947-4557 |