Ms Kathleen A Fellabaum, RD | |
6245 Inkster Rd, Diabetes Self Mgmt Education, Garden City Hospital, Garden City, MI 48135-4001 | |
(734) 458-4330 | |
(734) 458-4690 |
Full Name | Ms Kathleen A Fellabaum |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 6245 Inkster Rd, Garden City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558420877 | NPI | - | NPPES |
1578550174 | Other | MI | GARDEN CITY HOSPITAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | NONE (Michigan) | Primary |
Provider Name | County Of Washtenaw |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639132442 PECOS PAC ID: 9931161585 Enrollment ID: O20041027000504 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathleen A Fellabaum, RD 5677 Winslow Ct, Ypsilanti, MI 48197-9021 Ph: (734) 528-9063 | Ms Kathleen A Fellabaum, RD 6245 Inkster Rd, Diabetes Self Mgmt Education, Garden City Hospital, Garden City, MI 48135-4001 Ph: (734) 458-4330 |
Marie Sharp, REGISTERED DIETITIAN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4315 | |
Mrs. Karey Ann Prox, R.N., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-421-3300 Fax: 734-458-4238 | |
Garden City Hospital Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-421-1200 Fax: 734-422-0273 | |
Ms. Margaret Marry Patricia Heiser, R.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-421-3300 Fax: 734-422-0273 | |
Tae Eun Lee, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-421-3300 Fax: 734-422-0273 | |
Amanda Kischuk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-3300 |