Vanessa Loretta Connolly, RDN, CSR, LD is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in Goose Creek, South Carolina. Her current practice location is
159 Fox Chase Dr, Goose Creek, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(301) 758-8254.
Vanessa Loretta Connolly is licensed to practice in South Carolina (license number 942920) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770236689.
Healthcare Provider's Profile
Full Name | Vanessa Loretta Connolly |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Renal |
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Location | 159 Fox Chase Dr, Goose Creek, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770236689
- Provider Enumeration Date: 01/31/2022
- Last Update Date: 01/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709251523
- Enrollment ID: I20230410001925
Medical Identifiers
Medical identifiers for Vanessa Loretta Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770236689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1005X | Dietitian, Registered - Nutrition, Renal | 942920 (South Carolina) | Primary |
133V00000X | Dietitian, Registered | 942920 (South Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vanessa Loretta Connolly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Vanessa Loretta Connolly, RDN, CSR, LD 159 Fox Chase Dr, Goose Creek, SC 29445-5413 Ph: (301) 758-8254 | Vanessa Loretta Connolly, RDN, CSR, LD 159 Fox Chase Dr, Goose Creek, SC 29445-5413 Ph: (301) 758-8254 |
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