| Sara Kubetin, RD | |
| 
					130 Quincy Ave Fl 2, Brockton, MA 02302-2803  | |
| (508) 941-7250 | |
| Not Available | 
| Full Name | Sara Kubetin | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 130 Quincy Ave Fl 2, Brockton, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164890935 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86014100 (Massachusetts) | Secondary | 
| 133V00000X | Dietitian, Registered | 3830 (Massachusetts) | Primary | 
| Provider Name | Signature Healthcare Medical Group Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372  | 
| Provider Name | Alisonrd Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1891221834 PECOS PAC ID: 6901163369 Enrollment ID: O20171121000082  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sara Kubetin, RD 130 Quincy Ave Fl 2, Brockton, MA 02302-2803 Ph: (508) 941-7250  | Sara Kubetin, RD 130 Quincy Ave Fl 2, Brockton, MA 02302-2803 Ph: (508) 941-7250  | 
Mrs. Amy Leadbetter Adams, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 180 Centre St, Brockton, MA 02302 Phone: 508-941-7433  | |
Jennifer Lynn Rautenberg, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3128  | |
Mr. Jonathan Zangwill, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Signature Healthcare Brockton Hospital - Food/nutrition, Brockton, MA 02302 Phone: 508-941-7433  | |
Rita Stegman,  Dietitian Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699  | |
Rachel Rubin,  Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St Ste 2000, Brockton, MA 02301 Phone: --  | |
Margaret Rose Pochay, RD CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-2311 Fax: 781-344-6102  |