Jill Marie Johnson, RD | |
8333 Felch St, Suite 300, Zeeland, MI 49464-2608 | |
(616) 994-6677 | |
(616) 494-5901 |
Full Name | Jill Marie Johnson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 8333 Felch St, Zeeland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033284278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Spectrum Health Primary Care Partners |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
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Jill Marie Johnson, RD 100 Michigan St Ne, Mc- 845, Grand Rapids, MI 49503-2560 Ph: (616) 267-7400 | Jill Marie Johnson, RD 8333 Felch St, Suite 300, Zeeland, MI 49464-2608 Ph: (616) 994-6677 |
Sarah Elizabeth Byler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-7523 | |
Betrina Stitt, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9630 Meadowland Ct, Zeeland, MI 49464 Phone: 616-795-3135 | |
Amanda Ann Woodworth, RD Dietitian Medicare: Medicare Enrolled Practice Location: 8333 Felch St Ste 300, Zeeland, MI 49464 Phone: 616-994-6677 | |
Mrs. Angela C Fobar, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-4644 | |
Rima Deek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-7523 Fax: 616-748-3679 | |
Ashley Heinrich, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5964 Chicago Dr, Zeeland, MI 49464 Phone: 616-283-3151 |