Mrs Mary Jeanne Kincaid, RD, CDCES is a
Dietitian, Registered based in Peroskey, Michigan. Mrs Mary Jeanne Kincaid is licensed to practice in Ohio (license number LD 1636) and her current practice location is
560 W. Mitchell St, Suite 300, Peroskey, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 487-7158.
NPI number for Mrs Mary Jeanne Kincaid is 1780715318 and her current mailing address is 1025 Old Orchard Rd, Harbor Springs, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780715318.
Healthcare Provider's Profile
Full Name | Mrs Mary Jeanne Kincaid |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 560 W. Mitchell St, Peroskey, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780715318
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 10/21/2021
Medical Identifiers
Medical identifiers for Mrs Mary Jeanne Kincaid such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780715318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD 1636 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Jeanne Kincaid is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary Jeanne Kincaid, RD, CDCES 1025 Old Orchard Rd, Harbor Springs, MI 49740-8630 Ph: (513) 659-9880 | Mrs Mary Jeanne Kincaid, RD, CDCES 560 W. Mitchell St, Suite 300, Peroskey, MI 49770-2278 Ph: (231) 487-7158 |
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