Mrs Alicia Buterbaugh, RD, LD, CDE | |
2510 Commons Blvd Ste 160, Beavercreek, OH 45431-3834 | |
(937) 401-7575 | |
Not Available |
Full Name | Mrs Alicia Buterbaugh |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 38 Years |
Location | 2510 Commons Blvd Ste 160, Beavercreek, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073126389 | NPI | - | NPPES |
0421279 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Independent Medical Group Inc | 3173710936 | 577 |
Provider Name | Alliance Physicians Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Provider Name | Kettering Independent Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
---|---|
Mrs Alicia Buterbaugh, RD, LD, CDE 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Mrs Alicia Buterbaugh, RD, LD, CDE 2510 Commons Blvd Ste 160, Beavercreek, OH 45431-3834 Ph: (937) 401-7575 |
Hillary Hawthorne Marconcini, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2570 Gleneagles Rd Apt F, Beavercreek, OH 45324 Phone: 330-310-7930 | |
Samantha Leyh, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3527 Onyx Cir Apt 11, Beavercreek, OH 45431 Phone: 908-433-3511 | |
Laura A Knisley, CNP Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd Ste 160, Beavercreek, OH 45431 Phone: 937-425-4010 | |
Samantha Lillian Krutka, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3839 Indian Ripple Rd, Beavercreek, OH 45440 Phone: 937-431-0455 | |
Tia Jackson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2510 Commons Blvd Ste 130, Beavercreek, OH 45431 Phone: 937-558-3064 | |
Johanna Grace Kultys, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2641 Hibiscus Way Apt 204, Beavercreek, OH 45431 Phone: 570-690-6718 |