Samantha A Rider, RD | |
1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | |
(337) 310-3670 | |
Not Available |
Full Name | Samantha A Rider |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 26 Years |
Location | 1727 Imperial Blvd, Lake Charles, Louisiana |
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 |
---|---|---|---|
1053374595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1378 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imperial Health Llp | 7719886779 | 71 |
Provider Name | Imperial Health Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053352401 PECOS PAC ID: 7719886779 Enrollment ID: O20040108000257 |
Mailing Address | Practice Location Address |
---|---|
Samantha A Rider, RD 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 Ph: (337) 312-8258 | Samantha A Rider, RD 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 Ph: (337) 310-3670 |
Women & Children's Hospital Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-474-6370 Fax: 337-475-4143 | |
Hailey Crawford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601 Phone: 337-475-8100 Fax: 337-475-8510 | |
Mrs. Courtney E Foch Labove, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605 Phone: 337-310-3670 Fax: 337-421-1408 | |
Mr. Daniel Morel, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-475-8129 | |
Rachel Jeanette Hungerford, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Aberdeen Dr, Lake Charles, LA 70605 Phone: 337-274-5635 | |
Tracey Elizabeth Timmons, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3236 Kirkman St, Lake Charles, LA 70601 Phone: 337-480-2632 Fax: 337-475-8613 |