Kelsae Y Fitzpatrick, RD | |
500 Campus Dr, Hancock, MI 49930-1569 | |
(906) 483-1667 | |
(906) 483-1670 |
Full Name | Kelsae Y Fitzpatrick |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 500 Campus Dr, Hancock, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881938686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Portage Hospital Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087 |
Mailing Address | Practice Location Address |
---|---|
Kelsae Y Fitzpatrick, RD 500 Campus Dr, Hancock, MI 49930-1569 Ph: (906) 483-1667 | Kelsae Y Fitzpatrick, RD 500 Campus Dr, Hancock, MI 49930-1569 Ph: (906) 483-1667 |
Portage Hospital Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1128 Fax: 906-483-1122 | |
Marielle Calcaterra, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1670 | |
Portage Physician Practices Inc Dietitian Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Ste. 5, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-483-1270 | |
Ms. Tara Lynn Lassila, P.A. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1147 | |
Carol A Grafford, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Diabetes Education, Hancock, MI 49930 Phone: 906-483-1562 Fax: 906-483-1149 | |
Shana Louise Roth, RD Dietitian Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1148 Fax: 906-483-1670 | |
Western U.p. District Health Department & Superior Home Nursing & Hosp Dietitian Medicare: Not Enrolled in Medicare Practice Location: 540 Depot St, Hancock, MI 49930 Phone: 906-482-7382 Fax: 906-482-9410 |