Ms Mary Kathryn Ausich, RD, CDE | |
7901 S 12th St Ste 200, Portage, MI 49024-3831 | |
(269) 341-8585 | |
Not Available |
Full Name | Ms Mary Kathryn Ausich |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 7901 S 12th St Ste 200, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174032478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1024516 (* (Not Available)) | Primary |
Provider Name | Bronson Methodist Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Mailing Address | Practice Location Address |
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Ms Mary Kathryn Ausich, RD, CDE 601 John Street, Box 39, Kalamazoo, MI 49007 Ph: () - | Ms Mary Kathryn Ausich, RD, CDE 7901 S 12th St Ste 200, Portage, MI 49024-3831 Ph: (269) 341-8585 |
Beth Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 270 Point O Woods Dr, Portage, MI 49002 Phone: 269-903-5138 | |
Rachel Zito, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 10150 Portage Rd, Portage, MI 49002 Phone: 269-254-0737 | |
Morgan Valene Aleman, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 7775 Angling Rd, Portage, MI 49024 Phone: 268-321-7335 | |
Mrs. Randi Shel Klop, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 7901 S 12th St Ste 200, Portage, MI 49024 Phone: 269-341-8317 | |
Joyce Ross, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-321-7120 | |
Michelle Voss, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 7901 S 12th St Ste 200, Portage, MI 49024 Phone: 269-341-8585 |