Janet Lynn Deckard, RD | |
601 W 2nd St, Bloomington, IN 47403-2317 | |
(812) 353-5660 | |
Not Available |
Full Name | Janet Lynn Deckard |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 601 W 2nd St, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952900904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 876069 (Indiana) | Secondary |
133V00000X | Dietitian, Registered | 37001939A (Indiana) | Primary |
Provider Name | Indiana University Health Southern Indiana Physicians Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
---|---|
Janet Lynn Deckard, RD 7203 S Lodge Rd, Bloomington, IN 47403-8817 Ph: (812) 340-7348 | Janet Lynn Deckard, RD 601 W 2nd St, Bloomington, IN 47403-2317 Ph: (812) 353-5660 |
North Star Nutrition Counseling , Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 W Kirkwood Ave Ste 213, Bloomington, IN 47404 Phone: 123-180-4458 | |
Laurie M Eynon, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9568 Fax: 812-353-9318 | |
Erin D Wilson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9568 Fax: 812-353-9318 | |
Chloe Torres, RD Dietitian Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-3406 | |
Kelly Lazzell, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-4011 | |
Hannah Vaughan, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4101 E Morningside Dr, Bloomington, IN 47408 Phone: 812-272-1012 | |
L. Suzanne Hinton, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9568 Fax: 812-353-9318 |