Ms Jeana Barbara Van Dyke, RD, LD, CDE | |
631 Elm St Sw, Suite 202, Albany, OR 97321-1952 | |
(541) 812-4844 | |
(541) 812-4849 |
Full Name | Ms Jeana Barbara Van Dyke |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 631 Elm St Sw, Albany, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972680726 | NPI | - | NPPES |
500639570 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 000503 (Oregon) | Primary |
Provider Name | Albany General Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
Mailing Address | Practice Location Address |
---|---|
Ms Jeana Barbara Van Dyke, RD, LD, CDE 1046 6th Ave Sw, Albany, OR 97321-1916 Ph: (541) 812-4000 | Ms Jeana Barbara Van Dyke, RD, LD, CDE 631 Elm St Sw, Suite 202, Albany, OR 97321-1952 Ph: (541) 812-4844 |
Miss Brooke Danielle Duncan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4523 Fax: 541-812-4004 | |
Cynthia Jan Cole, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Samaritan Albany General Hospital, Albany, OR 97321 Phone: 541-812-4843 | |
Barbara P George, MS, RD, LD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 534 Pleasant View Way Nw, Suite 100, Albany, OR 97321 Phone: 541-812-5656 | |
Jessica Ann Davis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4945 Fax: 541-812-4004 | |
Serena Stearns-garland, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 315 4th Ave Sw, Albany, OR 97321 Phone: 541-967-3866 | |
Heidi R Graham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4530 Fax: 541-812-4004 | |
Mrs. Jamie Marie Brown, RN,RD,LD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4848 Fax: 541-812-4849 |