Machaela Lynne Copenhaver, RDN | |
2020 E 29th Ave, Spokane, WA 99203-3917 | |
(888) 364-5977 | |
Not Available |
Full Name | Machaela Lynne Copenhaver |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2020 E 29th Ave, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750037826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (Washington) | Secondary |
133V00000X | Dietitian, Registered | D161277062 (Washington) | Primary |
Provider Name | Emily Program Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154696698 PECOS PAC ID: 5193623254 Enrollment ID: O20110419000204 |
Mailing Address | Practice Location Address |
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Machaela Lynne Copenhaver, RDN 4511 E 34th Ln, Spokane, WA 99223-6021 Ph: (509) 570-2565 | Machaela Lynne Copenhaver, RDN 2020 E 29th Ave, Spokane, WA 99203-3917 Ph: (888) 364-5977 |
Katherine Leigh Lefler, RD Dietitian Medicare: Medicare Enrolled Practice Location: 910 W 5th Ave, Suite 800, Spokane, WA 99204 Phone: 509-838-2531 | |
Tessa Janelle Farr, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 W 5th Ave Ste 800, Spokane, WA 99204 Phone: 509-838-2531 Fax: 509-755-6580 | |
R. Tucker Reiley, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15404 N Addison Ct, Spokane, WA 99208 Phone: 833-378-2162 | |
Breanna K Bergeron, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 212 E Central Ave, Ste. 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070 | |
Erica Lynn Baty, MS, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806 | |
Jaclyn Michele Helm, MS,RD,CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2820 N Astor St, Spokane, WA 99207 Phone: 509-252-5792 Fax: 509-340-7323 | |
Lisa Harmeyer, Dietitian Medicare: Medicare Enrolled Practice Location: 2020 E 29th Ave Ste 200, Spokane, WA 99203 Phone: 888-364-5977 |