Ms Marcia Ann Wirth, DIETICIAN | |
600 N College Ave, Geneseo, IL 61254-1091 | |
(309) 944-6431 | |
Not Available |
Full Name | Ms Marcia Ann Wirth |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 600 N College Ave, Geneseo, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386703643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 716443 (Illinois) | Primary |
Provider Name | Hammond Henry Dist Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20070713000062 |
Mailing Address | Practice Location Address |
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Ms Marcia Ann Wirth, DIETICIAN 600 N College Ave, Geneseo, IL 61254-1091 Ph: (309) 944-6431 | Ms Marcia Ann Wirth, DIETICIAN 600 N College Ave, Geneseo, IL 61254-1091 Ph: (309) 944-6431 |
Ms. Kathy Ann Peed, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 N College Ave, Geneseo, IL 61254 Phone: 309-944-9103 | |
Mrs. Kailey Nicole Limes, R.D.N. Dietitian Medicare: Medicare Enrolled Practice Location: 600 N College Ave, Geneseo, IL 61254 Phone: 309-944-9118 | |
Victoria Bean, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 204 Oakwood Pl, Geneseo, IL 61254 Phone: 309-944-3055 | |
Bobby J Cain, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 600 N College Ave, Geneseo, IL 61254 Phone: 309-944-6431 |