| Jennifer Potthoff, RD, LDN | |
|
2501 W 12th St, Erie, PA 16505-4527 | |
| (814) 461-6626 | |
| (814) 871-6251 |
| Full Name | Jennifer Potthoff |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 14 Years |
| Location | 2501 W 12th St, Erie, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427437896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN005335 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Erie Medical Group Pc | 0749457612 | 3 |
| St Vincent Medical Education And Research Institute Inc | 3870405137 | 252 |
| Provider Name | St Vincent Medical Education And Research Institute Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
| Provider Name | Lake Erie Medical Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053696997 PECOS PAC ID: 0749457612 Enrollment ID: O20120117000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Potthoff, RD, LDN 2501 W 12th St, Erie, PA 16505-4527 Ph: (814) 461-6626 | Jennifer Potthoff, RD, LDN 2501 W 12th St, Erie, PA 16505-4527 Ph: (814) 461-6626 |
Kimberly Riley Eccles, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3330 Peach St, Suite 211, Erie, PA 16508 Phone: 814-877-5484 Fax: 814-877-5489 | |
Natalie A Kujan, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5515 Peach St, Erie, PA 16509 Phone: 814-864-4031 Fax: 814-868-7770 | |
Heather Leann Fortsch, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1720 Holland St, Erie, PA 16503 Phone: 814-453-5747 | |
Mrs. Jamie L Moraski, RD,LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3822 Colonial Ave, Erie, PA 16506 Phone: 814-835-2626 Fax: 814-835-2646 | |
Ms. Kimberly Ann Crowl, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 350 E Bayfront Pkwy, Unit C, Erie, PA 16507 Phone: 814-455-2279 Fax: 814-871-1786 | |
Marianne Schneider, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2146 Fax: 814-860-2111 | |
Ashley Lauria, RD, LDN, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2361 |