Andrea Ruth Thompson, MS, RD, LDN | |
1600 E Jackson St, Macomb, IL 61455-2530 | |
(309) 837-9917 | |
Not Available |
Full Name | Andrea Ruth Thompson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1600 E Jackson St, Macomb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942676192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164005111 (Illinois) | Primary |
Provider Name | Hy-vee Health Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629844568 PECOS PAC ID: 1254701618 Enrollment ID: O20240102002445 |
Mailing Address | Practice Location Address |
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Andrea Ruth Thompson, MS, RD, LDN 1600 E Jackson St, Macomb, IL 61455-2530 Ph: (309) 837-9917 | Andrea Ruth Thompson, MS, RD, LDN 1600 E Jackson St, Macomb, IL 61455-2530 Ph: (309) 837-9917 |
Ms. Jennifer Soucie, R.D., LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 E Jackson St, Macomb, IL 61455 Phone: 309-837-9917 | |
Brittany Figge, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 E Jackson St, Macomb, IL 61455 Phone: 309-837-9917 | |
Marilyn Kay Derry, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-833-4101 |