Mrs Virginia Ann Kerwin, RD,CDE, LDN | |
102 W Kenwood Ave, Decatur, IL 62526-4368 | |
(217) 545-8000 | |
Not Available |
Full Name | Mrs Virginia Ann Kerwin |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 37 Years |
Location | 102 W Kenwood Ave, Decatur, Illinois |
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 |
---|---|---|---|
1023160728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.001360 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Board Of Trustees Of Southern Illinois University | 4486667888 | 96 |
Provider Name | Board Of Trustees Of Southern Illinois University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
Mailing Address | Practice Location Address |
---|---|
Mrs Virginia Ann Kerwin, RD,CDE, LDN 102 W Kenwood, Decatur, IL 62526 Ph: (217) 545-8000 | Mrs Virginia Ann Kerwin, RD,CDE, LDN 102 W Kenwood Ave, Decatur, IL 62526-4368 Ph: (217) 545-8000 |
Christine W Cutler, MS RD LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2281 Fax: 217-876-2261 | |
Angela Feriozzi, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-454-7642 | |
Mrs. Debbie J Dilley, MS RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2281 Fax: 217-876-2261 | |
Heather Kay Yacko, M.S. R.D. L.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-5304 | |
Mrs. Coley Anne Adloff, RD LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261 | |
Ms. Laura Elizabeth Sechrest, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2451 Fax: 217-464-1647 |