Jordan Sheraden, | |
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
(217) 464-5241 | |
(217) 464-1647 |
Full Name | Jordan Sheraden |
---|---|
Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 15 Years |
Location | 1800 E Lake Shore Dr, Decatur, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902298318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.005628 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Medical Center | 7315835949 | 111 |
Provider Name | Decatur Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Provider Name | Memorial Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033171343 PECOS PAC ID: 7315835949 Enrollment ID: O20040305000989 |
Mailing Address | Practice Location Address |
---|---|
Jordan Sheraden, 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: () - | Jordan Sheraden, 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-5241 |
Christine W Cutler, MS RD LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2281 Fax: 217-876-2261 | |
Mrs. Virginia Ann Kerwin, R.D. ,CDE, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 102 W Kenwood Ave, Decatur, IL 62526 Phone: 217-545-8000 | |
Angela Feriozzi, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-454-7642 | |
Mrs. Debbie J Dilley, MS RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2281 Fax: 217-876-2261 | |
Heather Kay Yacko, M.S. R.D. L.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-5304 | |
Mrs. Coley Anne Adloff, RD LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261 | |
Ms. Laura Elizabeth Sechrest, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2451 Fax: 217-464-1647 |