| Daisy Y Wan, RD | |
|
1750 112th Ave Ne, Bldg 4 Ste E175, Bellevue, WA 98004-3752 | |
| (425) 289-0381 | |
| (425) 289-0387 |
| Full Name | Daisy Y Wan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1750 112th Ave Ne, 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 |
|---|---|---|---|
| 1366976656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI00001207 (Washington) | Primary |
| Provider Name | Overlake Medical Clinics Llc |
|---|---|
| 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 |
|---|---|
| Daisy Y Wan, RD 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Daisy Y Wan, RD 1750 112th Ave Ne, Bldg 4 Ste E175, Bellevue, WA 98004-3752 Ph: (425) 289-0381 |
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 |