Carrie Jayne Tollefson, RD | |
1120 112th Ave Ne Ste 150, Bellevue, WA 98004-4505 | |
(425) 688-5484 | |
(425) 688-5912 |
Full Name | Carrie Jayne Tollefson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1120 112th Ave Ne Ste 150, Bellevue, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972931491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 00000459 (Washington) | Primary |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 00000459 (Washington) | Secondary |
Provider Name | Overlake Medical Clinics Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
Mailing Address | Practice Location Address |
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Carrie Jayne Tollefson, RD 1120 112th Ave Ne Ste 150, Bellevue, WA 98004-4505 Ph: (425) 688-5484 | Carrie Jayne Tollefson, RD 1120 112th Ave Ne Ste 150, Bellevue, WA 98004-4505 Ph: (425) 688-5484 |
Jyoti Benjamin, MD,RD, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 13451 Se 36th St, Bellevue, WA 98006 Phone: 425-562-1337 Fax: 425-562-1331 | |
Mrs. Joanne Corrigan, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13033 Bel Red Rd, Suite 210, Bellevue, WA 98005 Phone: 360-789-3873 | |
Kathleen A Lilley, RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 112th Ave Ne, Bellevue, WA 98004 Phone: 425-688-5484 Fax: 424-688-5281 | |
Andrea L Cornelius, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4455 148th Ave Ne, Bellevue, WA 98007 Phone: 425-869-4725 | |
Mrs. Seema Patel, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4455 148th Ave Ne, Bellevue, WA 98007 Phone: 425-869-4796 | |
Mrs. Allison Thompson, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 108th Ave Ne Ste 402, Bellevue, WA 98004 Phone: 425-454-1199 Fax: 425-454-8779 | |
Mrs. Amie Elizabeth Louwers, RD, LD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1237 116th Ave Ne, Bellevue, WA 98004 Phone: 240-277-4640 |