| Tiffany Ellegard, MS, RDN | |
|
6124 E Brown Rd, Mesa, AZ 85205-4959 | |
| (480) 527-8999 | |
| Not Available |
| Full Name | Tiffany Ellegard |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 3 Years |
| Location | 6124 E Brown Rd, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588357792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Dietitian Group Llc | 0749674323 | 2 |
| Provider Name | Az Dietitians LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730678400 PECOS PAC ID: 5799023859 Enrollment ID: O20190328002685 |
| Provider Name | Southwest Dietitian Group LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952062275 PECOS PAC ID: 0749674323 Enrollment ID: O20220224001158 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Ellegard, MS, RDN 30 Seville Dr, Rancho Mirage, CA 92270-3850 Ph: (480) 527-8999 | Tiffany Ellegard, MS, RDN 6124 E Brown Rd, Mesa, AZ 85205-4959 Ph: (480) 527-8999 |
Linda Miranda, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3356 E Javelina Ave, Mesa, AZ 85204 Phone: 602-397-0455 |
Alexandra Marie Franklin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 S. Power Rd., Bldg. #9, Suite 222, Mesa, AZ 85209 Phone: 480-276-5984 |
Dr. John St. Rose Jr., ND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1050 E University Dr Ste 10, Mesa, AZ 85203 Phone: 480-712-7099 |
Lauren Turilli, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 W Brown Rd, Mesa, AZ 85201 Phone: 480-684-5087 Fax: 480-684-5026 |
Ms. Antoinetta V Anselmo, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 544 N Alma School Rd Unit 5, Mesa, AZ 85201 Phone: 602-803-4522 Fax: 480-621-8109 |
Julie Lammers, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1450 S Dobson Rd Ste B221, Mesa, AZ 85202 Phone: 480-827-5370 |
Rogelio Pena, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1511 W 7th Pl, Mesa, AZ 85201 Phone: 480-280-4414 |