| Ms Mollie Mcleod Tracy, RDN | |
|
2057 Dream Catcher Plz, Oneida, NY 13421-2729 | |
| (315) 829-8700 | |
| Not Available |
| Full Name | Ms Mollie Mcleod Tracy |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2057 Dream Catcher Plz, Oneida, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104489673 | NPI | - | NPPES |
| 01705682 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1046166 (New York) | Primary |
| Provider Name | Oneida Indian Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831196716 PECOS PAC ID: 9133254584 Enrollment ID: O20200831002691 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mollie Mcleod Tracy, RDN 2057 Dream Catcher Plz, Oneida, NY 13421-2729 Ph: (315) 829-8700 | Ms Mollie Mcleod Tracy, RDN 2057 Dream Catcher Plz, Oneida, NY 13421-2729 Ph: (315) 829-8700 |
Mita Dutta Kohanski, RD Dietitian Medicare: Medicare Enrolled Practice Location: 321 Genesee St, Oneida, NY 13421 Phone: 315-361-2028 | |
Michael J Washo, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Territory Rd, Oneida, NY 13421 Phone: 315-829-8700 Fax: 315-829-8731 | |
Sharon A Hoff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 321 Genesee St, Oneida, NY 13421 Phone: 315-361-2028 Fax: 315-361-2328 |