Mrs Amanda Rae Motl, RD, CD, CDE | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-2247 | |
Not Available |
Full Name | Mrs Amanda Rae Motl |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 36500 Aurora Dr, Summit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982073557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1944-29 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Mrs Amanda Rae Motl, RD, CD, CDE 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-2247 | Mrs Amanda Rae Motl, RD, CD, CDE 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-2247 |
Rachel Muck, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Kira Greenwood, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-2248 | |
Cynthia Hesse, M.S.,R.D.,C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-2246 |