Stacey Trogdon, RD | |
6120 N Mayfair St, Spokane, WA 99208-1033 | |
(509) 688-6700 | |
(509) 484-9212 |
Full Name | Stacey Trogdon |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 6120 N Mayfair St, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912034018 | NPI | - | NPPES |
2087263 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D100001085 (Washington) | Primary |
Provider Name | Overlake Medical Clinics Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
Mailing Address | Practice Location Address |
---|---|
Stacey Trogdon, RD Po Box 3867, Spokane, WA 99220-3867 Ph: (509) 688-6700 | Stacey Trogdon, RD 6120 N Mayfair St, Spokane, WA 99208-1033 Ph: (509) 688-6700 |
Katherine Leigh Lefler, RD Dietitian Medicare: Medicare Enrolled Practice Location: 910 W 5th Ave, Suite 800, Spokane, WA 99204 Phone: 509-838-2531 | |
Tessa Janelle Farr, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 W 5th Ave Ste 800, Spokane, WA 99204 Phone: 509-838-2531 Fax: 509-755-6580 | |
R. Tucker Reiley, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15404 N Addison Ct, Spokane, WA 99208 Phone: 833-378-2162 | |
Breanna K Bergeron, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 212 E Central Ave, Ste. 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070 | |
Erica Lynn Baty, MS, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806 | |
Jaclyn Michele Helm, MS,RD,CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2820 N Astor St, Spokane, WA 99207 Phone: 509-252-5792 Fax: 509-340-7323 | |
Lisa Harmeyer, Dietitian Medicare: Medicare Enrolled Practice Location: 2020 E 29th Ave Ste 200, Spokane, WA 99203 Phone: 888-364-5977 |