| Madison E Frye, MS, RDN, LDN | |
|
650 Joel Dr, Fort Campbell, KY 42223 | |
| (270) 798-8400 | |
| Not Available |
| Full Name | Madison E Frye |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447914577 | NPI | - | NPPES |
| 1040212710001 | Medicaid | PA | |
| 15428040 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Allegheny Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Provider Name | Case Specific Nutrition Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750758561 PECOS PAC ID: 6507164647 Enrollment ID: O20160406000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison E Frye, MS, RDN, LDN 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () - | Madison E Frye, MS, RDN, LDN 650 Joel Dr, Fort Campbell, KY 42223 Ph: (270) 798-8400 |
Reva L. Rogers, Dietitian Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180 | |
Mr. Trevor Carnegie Lomax, MS, RD, CSSD, CSCS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Mr. Jeffery Lee Heileson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-0621 | |
Mary Beth Mcquary, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Phone: 270-798-8077 | |
Mrs. Adina Ruth Johnson, MS, RD, CSOWM, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-0621 | |
Gena Baisa, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 | |
Mrs. Lilly Marlene Rivera, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 707-988-4002 |