| Ms Bianca Maria Anderson, MS, RD | |
|
1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 | |
| (928) 773-2054 | |
| (928) 773-2286 |
| Full Name | Ms Bianca Maria Anderson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1200 N Beaver St, Flagstaff, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548609431 | NPI | - | NPPES |
| 826172 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1031781 (Arizona) | Primary |
| Provider Name | Flagstaff Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780635078 PECOS PAC ID: 2769392554 Enrollment ID: O20031230000199 |
| Provider Name | Northern Arizona Healthcare Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Bianca Maria Anderson, MS, RD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Ms Bianca Maria Anderson, MS, RD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 773-2054 |
Tanya Lee Morgan Tweed, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2441 | |
Ms. Gayle Marie Baingo, R.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1210 W Davis Way, Flagstaff, AZ 86001 Phone: 928-380-1610 Fax: 928-380-1610 | |
Ms. Robin A Aufdenkampe, MS,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff Medical Center, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Lorraine Damiani Crim, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 718 W Grand Canyon Ave, Flagstaff, AZ 86001 Phone: 928-853-3568 | |
Angela Hansen, RD, IBCLC Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2200 Fax: 928-773-2300 | |
Heidi Bringhurst, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-606-3916 | |
Brittany Dilley, RDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-773-2084 |