Shirley R Shelley, CD | |
1400 Bellinger St, Eau Claire, WI 54703-5222 | |
(715) 838-5222 | |
Not Available |
Full Name | Shirley R Shelley |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1400 Bellinger St, Eau Claire, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659337632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 252-029 (Wisconsin) | Primary |
Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
Mailing Address | Practice Location Address |
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Shirley R Shelley, CD 200 1st St Sw, Rochester, MN 55905-0002 Ph: (715) 838-5222 | Shirley R Shelley, CD 1400 Bellinger St, Eau Claire, WI 54703-5222 Ph: (715) 838-5222 |
Kathryn Leigh Olson, MHA, RD, LDN,CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Thomas Allen Tio, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-3512 | |
Molly J Marten, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 S Barstow Suite 1c, Eau Claire, WI 54701 Phone: 715-495-5157 | |
Janet Lynn Mccann, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Hannah Ritsch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1320 Barry Ave, Eau Claire, WI 54701 Phone: 715-559-9059 | |
Elizabeth Bronk, RD CD Dietitian Medicare: Medicare Enrolled Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 507-273-7538 | |
Diana M Watkins, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2620 Stein Blvd, Eau Claire, WI 54701 Phone: 715-831-0100 Fax: 715-831-0108 |