| Tegan Bissell, RD, LDN, CDCES | |
|
3496 Nw Federal Hwy, Suite F, Jensen Beach, FL 34957-4441 | |
| (772) 223-4916 | |
| (772) 223-2887 |
| Full Name | Tegan Bissell |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3496 Nw Federal Hwy, Jensen Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437542230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND6894 (Florida) | Primary |
| Provider Name | Martin Memorial Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194790055 PECOS PAC ID: 2961300611 Enrollment ID: O20031222000241 |
| Provider Name | Martin Memorial Physician Corporation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
| Provider Name | Resilient Nutrition |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720855513 PECOS PAC ID: 8123465515 Enrollment ID: O20240320004218 |
| Mailing Address | Practice Location Address |
|---|---|
| Tegan Bissell, RD, LDN, CDCES 407 Coconut Ave E, Port Saint Lucie, FL 34952-1328 Ph: (802) 376-8964 | Tegan Bissell, RD, LDN, CDCES 3496 Nw Federal Hwy, Suite F, Jensen Beach, FL 34957-4441 Ph: (772) 223-4916 |
Beth Marie St Louis, MS,RD,LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3496 Nw Federal Hwy, Ste F, Jensen Beach, FL 34957 Phone: 772-223-4916 Fax: 772-223-2887 | |
Andrea L Cooper, RD LD/N Dietitian Medicare: Medicare Enrolled Practice Location: 3496 Nw Federal Hwy, Ste F, Jensen Beach, FL 34957 Phone: 772-223-4916 Fax: 772-223-2887 | |
Lindsey Modica, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3496 Nw Federal Hwy Ste F, Jensen Beach, FL 34957 Phone: 772-223-5945 Fax: 772-223-2887 | |
Mrs. Nancy J.i. Geib, R.D.N., L.D. Dietitian Medicare: Medicare Enrolled Practice Location: 3496 Nw Federal Hwy, Jensen Beach, FL 34957 Phone: 772-223-4916 | |
Melody Schrock, RD, LD/N Dietitian Medicare: Medicare Enrolled Practice Location: 3496 Nw Federal Hwy, Jensen Beach, FL 34957 Phone: 772-223-5945 Fax: 772-223-2887 | |
Katherine Harvey, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 950 Nw Fresco Way Apt 306, Jensen Beach, FL 34957 Phone: 607-321-3275 |