Mr Richard Edward Packard Jr, RDN, LDN, MBA | |
600 Roe Ave # 1g, Elmira, NY 14905-1676 | |
(607) 795-2820 | |
(607) 795-2821 |
Full Name | Mr Richard Edward Packard Jr |
---|---|
Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 21 Years |
Location | 600 Roe Ave # 1g, Elmira, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821372376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 598 (West Virginia) | Secondary |
133V00000X | Dietitian, Registered | 010583 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arnot Ogden Medical Center | 5395798417 | 196 |
Provider Name | Arnot Ogden Medical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083605661 PECOS PAC ID: 5395798417 Enrollment ID: O20061003000664 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Edward Packard Jr, RDN, LDN, MBA 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Mr Richard Edward Packard Jr, RDN, LDN, MBA 600 Roe Ave # 1g, Elmira, NY 14905-1676 Ph: (607) 795-2820 |
Mary Griffin, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Washington St Bldg 1, Elmira, NY 14901 Phone: 607-737-4940 Fax: 607-737-4956 | |
Nan Mansfield, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Fitch St, Elmira, NY 14905 Phone: 607-737-8151 Fax: 607-737-8104 | |
Lisa Wert, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Washington St Bldg 1, Elmira, NY 14901 Phone: 607-737-4934 Fax: 607-737-4956 | |
Carolyn Chaffee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Walnut St, Elmira, NY 14901 Phone: 607-732-5646 Fax: 607-732-0373 | |
Ms. Bedelia Colleen Nowak, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 256 Snell Rd, Elmira, NY 14901 Phone: 607-529-3388 | |
Mr. Anothony Dominick Patricelli Jr., RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 555 E Market St, Elmira, NY 14901 Phone: 607-733-6541 Fax: 607-737-7837 | |
Nutrition Service Of Upstate New York, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Walnut St, Elmira, NY 14901 Phone: 607-732-5646 |