Mrs Leslie Clem Edmunds, MPH, RD, LD | |
4359 E Enon Rd, Yellow Springs, OH 45387-9708 | |
(937) 206-1131 | |
(937) 917-8048 |
Full Name | Mrs Leslie Clem Edmunds |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 16 Years |
Location | 4359 E Enon Rd, Yellow Springs, 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 |
---|---|---|---|
1225307325 | NPI | - | NPPES |
0166806 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1013816 (Ohio) | Primary |
133V00000X | Dietitian, Registered | 3262 (Ohio) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthy Hearts Nutrition Llc | 3678723970 | 8 |
Provider Name | Healthy Hearts Nutrition Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609128784 PECOS PAC ID: 3678723970 Enrollment ID: O20121023000176 |
Mailing Address | Practice Location Address |
---|---|
Mrs Leslie Clem Edmunds, MPH, RD, LD 4549 Old Mill Rd, Springfield, OH 45502-9747 Ph: (937) 206-1131 | Mrs Leslie Clem Edmunds, MPH, RD, LD 4359 E Enon Rd, Yellow Springs, OH 45387-9708 Ph: (937) 206-1131 |
Madelyn Trefzger, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 | |
Emma Austing, RDN, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 | |
Brianna Durnin Hanson, Dietitian Medicare: Medicare Enrolled Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-717-8751 | |
Taylor Alexandra Beach, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 Fax: 937-917-8048 | |
Cynthianna Mastropietro, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 | |
Kathryn Ingrid Poppe, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 |