Alicia Pabilona, | |
9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 | |
(253) 968-2252 | |
(253) 968-3278 |
Full Name | Alicia Pabilona |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 9040 Reid St, Joint Base Lewis Mcchord, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902279631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 1029454 (California) | Primary |
Provider Name | Public Hospital District No 1 Of Mason County |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760568752 PECOS PAC ID: 0345139275 Enrollment ID: O20040310001481 |
Mailing Address | Practice Location Address |
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Alicia Pabilona, 9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 Ph: (253) 968-2252 | Alicia Pabilona, 9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 Ph: (253) 968-2252 |
Lauren Bickley, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave Ncd, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-5739 | |
Sabrina Meier Ramme, RD Dietitian Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0196 | |
Mrs. Ashley Ryan Carlson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1936 Fax: 253-968-0567 | |
Callie Roseland, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438 Phone: 253-982-2222 | |
Vladislava Ivanova, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 770-841-4551 | |
Shauna C Phipps, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0573 | |
Victoria Hedrick, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6565 Magnolia Blvd, Joint Base Lewis Mcchord, WA 98433 Phone: 865-368-0525 |