Mallory Lorraine Reeves, RD | |
1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | |
(907) 631-7654 | |
Not Available |
Full Name | Mallory Lorraine Reeves |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1001 S Knik Goose Bay Rd, Wasilla, Alaska |
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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1295451136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 200121 (Alaska) | Primary |
Provider Name | Southcentral Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
Mailing Address | Practice Location Address |
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Mallory Lorraine Reeves, RD 7033 E Tudor Rd, Anchorage, AK 99507-1262 Ph: (907) 729-7408 | Mallory Lorraine Reeves, RD 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 Ph: (907) 631-7654 |
Raina Pasiewicz, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 | |
Emily Raup, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2147 W Shirley Rd, Wasilla, AK 99623 Phone: 907-671-7128 | |
Laura Phillips, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 2000 E Industrial Dr, Wasilla, AK 99654 Phone: 907-357-3003 Fax: 907-357-3003 | |
Allison Michelle Hillen, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 | |
Emily Kuntz, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3787 E Meridian Loop, Wasilla, AK 99654 Phone: 701-590-1892 | |
Miss Alesya Oleynik, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 |