Rebecca T Sulik, | |
2220 E 25th St, Idaho Falls, ID 83404-7542 | |
(208) 523-1122 | |
(208) 523-2582 |
Full Name | Rebecca T Sulik |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 30 Years |
Location | 2220 E 25th St, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013940386 | NPI | - | NPPES |
P00126107 | Other | ID | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | D257 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rocky Mountain Diabetes And Osteoporosis Center Pa | 5890750483 | 16 |
Provider Name | Rocky Mountain Diabetes And Osteoporosis Center Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336220243 PECOS PAC ID: 5890750483 Enrollment ID: O20041123000397 |
Mailing Address | Practice Location Address |
---|---|
Rebecca T Sulik, 2220 E 25th St, Idaho Falls, ID 83404-7542 Ph: (208) 523-1122 | Rebecca T Sulik, 2220 E 25th St, Idaho Falls, ID 83404-7542 Ph: (208) 523-1122 |
Macey Renae Leatham, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1298 Idaho Ave Apt 1, Idaho Falls, ID 83402 Phone: 208-716-0244 | |
Luana Tomchak, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1957 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-2352 Fax: 208-528-3332 | |
Kristine Rane, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6100 | |
Mrs. Laura Cheney Robinson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6125 | |
Leslee Elyse Blanch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1542 E 73rd S, Idaho Falls, ID 83404 Phone: 208-529-1390 | |
Kristina Stickley, RDN, LD, CHES Dietitian Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 |