Jilleisa Jezak, RD | |
1501 E 3rd St, Delta, CO 81416-2815 | |
(970) 874-6410 | |
Not Available |
Full Name | Jilleisa Jezak |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 10 Years |
Location | 1501 E 3rd St, Delta, Colorado |
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 |
---|---|---|---|
1235591157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86063981 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta County Memorial Hospital | 1850200601 | 60 |
Provider Name | Delta County Memorial Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653 |
Mailing Address | Practice Location Address |
---|---|
Jilleisa Jezak, RD 337 S Townsend Ave, Unit A, Montrose, CO 81401-4261 Ph: (231) 429-4827 | Jilleisa Jezak, RD 1501 E 3rd St, Delta, CO 81416-2815 Ph: (970) 874-6410 |
Mary B Grosvenor, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Amy D Engel, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Mrs. Janice Lynn Mabry, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St # Na, Delta, CO 81416 Phone: 970-874-7681 | |
Jayme Leigh Thomas, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-399-2868 | |
Kathleen E Moran, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-6410 Fax: 970-399-2868 |