Mrs Jennifer Jaylene Leedom, RD, CDE | |
1501 N Campbell Ave, Support Services, Room 0430, Tucson, AZ 85724-0001 | |
(520) 694-0116 | |
Not Available |
Full Name | Mrs Jennifer Jaylene Leedom |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1501 N Campbell Ave, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225279029 | NPI | - | NPPES |
419943 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Tmc Medical Network |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996 |
Mailing Address | Practice Location Address |
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Mrs Jennifer Jaylene Leedom, RD, CDE 1501 N Campbell Ave, Support Services Po Box 245088, Room 0430, Tucson, AZ 85724-0001 Ph: (520) 694-0116 | Mrs Jennifer Jaylene Leedom, RD, CDE 1501 N Campbell Ave, Support Services, Room 0430, Tucson, AZ 85724-0001 Ph: (520) 694-0116 |
Sarah Duke, R.D.N. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1001 W Camino Desierto, Tucson, AZ 85704 Phone: 520-907-9587 | |
Ghaidaa Kobeissi, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10350 E Drexel Rd Unit 110, Tucson, AZ 85747 Phone: 520-324-1727 Fax: 520-324-1700 | |
Mrs. Emily Susan Mason, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2806 N. Alvernon Way, #500, Tucson, AZ 85712 Phone: 520-730-3094 Fax: 520-428-5812 | |
Bree Ann Thompson, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Southern Az Va Health Care System, Tucson, AZ 85723 Phone: 520-792-1450 | |
Ms. Stephanie F. Harris, MS, RD,LDN, CSO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3813 N Camino De Oeste, Tucson, AZ 85745 Phone: 717-799-8279 | |
Anju Patel, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5651 N Paseo Niquel, Tucson, AZ 85718 Phone: 520-990-4112 | |
Ms. Dawn A Elvick, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 |