Alice Green, RD | |
280 Smith Ave N Ste 700, Saint Paul, MN 55102-2972 | |
(651) 241-6600 | |
Not Available |
Full Name | Alice Green |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 280 Smith Ave N Ste 700, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063059632 | NPI | - | NPPES |
164007727 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Allina Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Mailing Address | Practice Location Address |
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Alice Green, RD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: () - | Alice Green, RD 280 Smith Ave N Ste 700, Saint Paul, MN 55102-2972 Ph: (651) 241-6600 |
Christina Yokanovich, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 45 10th St W, Saint Paul, MN 55102 Phone: 651-232-3249 | |
Stefanie Kaitlyn Jensen, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 888-364-5977 | |
Azzairia Jackson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2081 Village Ln Apt B5, Saint Paul, MN 55116 Phone: 612-735-1669 | |
Tyann Zeal, R.D., L.D. Dietitian Medicare: Medicare Enrolled Practice Location: 2550 University Ave W, Saint Paul, MN 55114 Phone: 952-993-6200 | |
Stephanie K Campbell, Dietitian Medicare: Medicare Enrolled Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-229-3933 | |
Deanna Miller, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5323 Fax: 651-647-5135 | |
Lindsey Stiyer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5323 Fax: 561-379-6141 |