| Mrs Mary Elizabeth Baun, RD, LDN, CDE | |
| 
					720 Blackburn Rd, Sewickley, PA 15143-1459  | |
| (412) 299-1686 | |
| (412) 299-1295 | 
| Full Name | Mrs Mary Elizabeth Baun | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 720 Blackburn Rd, Sewickley, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497841613 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN001515 (Pennsylvania) | Primary | 
| Provider Name | Valley Gastroenterology Associates Pc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1891748877 PECOS PAC ID: 4688646235 Enrollment ID: O20040812000855  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Mary Elizabeth Baun, RD, LDN, CDE 467 Crescent Boulevard Ext, Crescent, PA 15046-4909 Ph: (724) 457-9414  | Mrs Mary Elizabeth Baun, RD, LDN, CDE 720 Blackburn Rd, Sewickley, PA 15143-1459 Ph: (412) 299-1686  | 
Mr. James Richard Campana Ii, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 720 Blackburn Rd, Sewickley, PA 15143 Phone: 412-299-1686 Fax: 412-749-6784  | |
Mrs. Jennifer Lynn Sotirake, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 720 Blackburn Rd, Sewickley, PA 15143 Phone: 412-749-7122 Fax: 412-299-1295  | |
Lauri Lang, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2607 Nicholson Rd., Suite 2100, Building 2, Sewickley, PA 15143 Phone: 724-934-3905  | |
Alice Valoski, M.S.,R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 145 Bradley Ln, Sewickley, PA 15143 Phone: 412-605-9800  | |
Jennifer M Weber Mars, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Sonie Dr, Sewickley, PA 15143 Phone: 724-272-0813  | |
Valley Medical Facilities, Inc Dietitian Medicare: Medicare Enrolled Practice Location: 720 Blackburn Rd, Sewickley, PA 15143 Phone: 412-749-7122  |