Elizabeth M Berkey, RD | |
11055 Twin Creeks Cv, Fort Wayne, IN 46845-2204 | |
(260) 425-6120 | |
(260) 425-6115 |
Full Name | Elizabeth M Berkey |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 11055 Twin Creeks Cv, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528266764 | NPI | - | NPPES |
1520029 | Other | WI | DIETICIAN STATE LICENSE |
0N99470 | Other | MI | MEDICARE GROUP PTAN - THREE RIVERS HEALTH |
00864485 | Other | AMERICIAN DIABETIES ASSOC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1520029 (Wisconsin) | Secondary |
133V00000X | Dietitian, Registered | 37002430A (Indiana) | Primary |
Provider Name | Parkview Health System Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
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Elizabeth M Berkey, RD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Elizabeth M Berkey, RD 11055 Twin Creeks Cv, Fort Wayne, IN 46845-2204 Ph: (260) 425-6120 |
Mrs. Alyce S Yoder, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11104 Parkview Circle Dr, Suite 330, Fort Wayne, IN 46845 Phone: 888-543-6397 | |
Maria Krach, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2515 Mill Pond Ct., Fort Wayne, IN 46804 Phone: 260-436-1312 Fax: 260-436-1312 | |
Laverne A Sullivan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057 | |
Mrs. Katherine R Capen, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057 | |
Shawn L Quinn, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8028 Carnegie Blvd, Suite 250, Fort Wayne, IN 46804 Phone: 260-373-7872 Fax: 260-755-6233 | |
Bonnie L. Gunckel, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057 | |
Tiane Bianski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6322 Farmswood Drive Apt 1b, Fort Wayne, IN 46804 Phone: 260-385-4123 |