Mrs Amy Elizabeth Branch, RD | |
211 N Eddy St, South Bend, IN 46617-2808 | |
(317) 944-3500 | |
(317) 962-2474 |
Full Name | Mrs Amy Elizabeth Branch |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 211 N Eddy St, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164934311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 37001952A (Indiana) | Primary |
Provider Name | Indiana University Health Care Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
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Mrs Amy Elizabeth Branch, RD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Mrs Amy Elizabeth Branch, RD 211 N Eddy St, South Bend, IN 46617-2808 Ph: (317) 944-3500 |
Jessica A Heckman, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9331 Fax: 574-237-9252 | |
Mrs. Nancy Ann Taghon, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-6351 | |
Martha Leah Magliola, R.D.,C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7335 | |
Kara K. Rowe, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9331 Fax: 574-237-9252 | |
Kathleen K. Gattman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9331 Fax: 574-239-9383 | |
Kaitlin Wiley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-6353 |