| Rachel L Roberts, RD | |
| 
					25631 Little Mack Ave Ste Ll, Saint Clair Shores, MI 48081-2100  | |
| (586) 443-2998 | |
| (586) 443-2309 | 
| Full Name | Rachel L Roberts | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 25631 Little Mack Ave Ste Ll, Saint Clair Shores, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942803200 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 898006 (Michigan) | Primary | 
| Provider Name | Beaumont Medical Group- Specialty Services | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rachel L Roberts, RD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -  | Rachel L Roberts, RD 25631 Little Mack Ave Ste Ll, Saint Clair Shores, MI 48081-2100 Ph: (586) 443-2998  | 
Ms. Susanne E Consiglio, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 22811 Greater Mack Ave, Suite 105, Saint Clair Shores, MI 48080 Phone: 586-778-4877 Fax: 586-778-3004  | |
Josephine Carlesimo,  Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19699 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-9900  | |
Amanda Alame, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 29519 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-343-8717 Fax: 586-343-8773  | |
Amy Ervin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25401 Harper Ave Ste 1, Saint Clair Shores, MI 48081 Phone: 586-412-5945  | |
Shelly Dimovski,  Dietitian Medicare: Not Enrolled in Medicare Practice Location: 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 586-498-4400  | |
Denise Manos, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22300 Bon Brae St, Saint Clair Shores, MI 48081 Phone: 586-779-7901 Fax: 586-779-7114  | |
Natalie Raymond, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25631 Little Mack Ave # Ll, Saint Clair Shores, MI 48081 Phone: 586-443-2998  |