Pamela Ing-dobrota, RD | |
269 S Candy Ln, Cottonwood, AZ 86326-4158 | |
(928) 639-6575 | |
(928) 639-6340 |
Full Name | Pamela Ing-dobrota |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 269 S Candy Ln, Cottonwood, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972051084 | NPI | - | NPPES |
680640 | Other | AZ | COMMISSION ON DIETETIC REGISTRATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 680640 (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 | Verde Valley Medical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346291648 PECOS PAC ID: 7719898204 Enrollment ID: O20040202000833 |
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 |
---|---|
Pamela Ing-dobrota, RD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Pamela Ing-dobrota, RD 269 S Candy Ln, Cottonwood, AZ 86326-4158 Ph: (928) 639-6575 |
Lisa Hill, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S. Candy Lane, Cottonwood, AZ 86326 Phone: 928-639-6543 Fax: 928-639-6340 | |
Riley Benjamin Johnson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6557 Fax: 928-639-6340 | |
Donna M Lucas, R.D,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6543 Fax: 928-639-6340 | |
Najva Sadeghi, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6575 Fax: 928-639-6340 | |
Ms. Tamara Jean Nisly, REGISTERED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 S 6th St, Cottonwood, AZ 86326 Phone: 928-639-8130 Fax: 928-639-8179 | |
Kim Marie Reed, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S. Candy Lane, Cottonwood, AZ 86326 Phone: 928-639-6557 | |
Suzanne Maestas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6557 |