Erica Bitencourt Rubino, RD | |
900 N Orange St Ste 304, Missoula, MT 59802-2951 | |
(406) 329-5781 | |
(406) 327-3331 |
Full Name | Erica Bitencourt Rubino |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 900 N Orange St Ste 304, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043863319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86044523 (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | MED-NUTR-LIC-88693 (Montana) | Primary |
Provider Name | Providence Health & Services Mt |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Mailing Address | Practice Location Address |
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Erica Bitencourt Rubino, RD Po Box 12, Liberty Lake, WA 99019-0012 Ph: (866) 747-2455 | Erica Bitencourt Rubino, RD 900 N Orange St Ste 304, Missoula, MT 59802-2951 Ph: (406) 329-5781 |
Andrea Marie Johnson, MA, RD, CLT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 825 W Kent Ave, Missoula, MT 59801 Phone: 406-370-5322 | |
Ms. Laura Mae Del Guerra, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 Ryman St, Suite 4, Missoula, MT 59802 Phone: 406-544-8362 | |
Kerri J Bizjak, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2827 Fort Missoula Rd, Missoula, MT 59804 Phone: 406-327-4151 Fax: 406-327-4176 | |
Mrs. Lindsay Crandall Watkins, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 214 Agnes Ave, Missoula, MT 59801 Phone: 406-544-3576 | |
Michelle Ann Miller, MS, RD, LDN, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd, Missoula, MT 59804 Phone: 406-327-5131 Fax: 406-327-4176 | |
Madeline Simmel, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2130 S 6th St W Apt B, Missoula, MT 59801 Phone: 406-531-4877 |