Jessica Averill, RD | |
2215 44th St Sw, Wyoming, MI 49519-6439 | |
(616) 252-8339 | |
Not Available |
Full Name | Jessica Averill |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2215 44th St Sw, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295138584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 944934 (Michigan) | Primary |
Provider Name | Metropolitan Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
Mailing Address | Practice Location Address |
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Jessica Averill, RD 2687 Hillandale Dr Nw, Walker, MI 49534-1349 Ph: (616) 560-5582 | Jessica Averill, RD 2215 44th St Sw, Wyoming, MI 49519-6439 Ph: (616) 252-8339 |
Mrs. Julie Ann Austin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7000 Fax: 616-252-0975 | |
Sharon Carter, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1550 Woodhill Ct Sw, Wyoming, MI 49509 Phone: 616-724-7684 | |
Mrs. Kathryn Nauta, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4893 Clyde Park Ave Sw, Wyoming, MI 49509 Phone: 616-889-5506 | |
Leah Marie Sankey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
Mrs. Karen Regina Host, MA, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-249-5300 Fax: 616-249-5461 | |
Jessica Bergers, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-8339 | |
Leia Cywka, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7083 |