Luke David Beck, RD, LD | |
2325 Coronado St., Idaho Falls, ID 83404 | |
(208) 542-7030 | |
Not Available |
Full Name | Luke David Beck |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 2325 Coronado St., Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942854419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | D-1136 (Idaho) | Primary |
Provider Name | Idaho Falls Community Hospital Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114481447 PECOS PAC ID: 9032441597 Enrollment ID: O20191217002564 |
Mailing Address | Practice Location Address |
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Luke David Beck, RD, LD 432 N 2800 E, Roberts, ID 83444 Ph: (208) 766-3843 | Luke David Beck, RD, LD 2325 Coronado St., Idaho Falls, ID 83404 Ph: (208) 542-7030 |
Rebecca T Sulik, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582 | |
Macey Renae Leatham, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1298 Idaho Ave Apt 1, Idaho Falls, ID 83402 Phone: 208-716-0244 | |
Luana Tomchak, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1957 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-2352 Fax: 208-528-3332 | |
Kristine Rane, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6100 | |
Mrs. Laura Cheney Robinson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6125 | |
Leslee Elyse Blanch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1542 E 73rd S, Idaho Falls, ID 83404 Phone: 208-529-1390 | |
Kristina Stickley, RDN, LD, CHES Dietitian Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 |