| Alexander Valine, | |
|
1818 N Meade St, Appleton, WI 54911-3454 | |
| (920) 422-8534 | |
| Not Available |
| Full Name | Alexander Valine |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 1818 N Meade St, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902634900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86297956 (Wisconsin) | Primary |
| Provider Name | Thedacare, Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Provider Name | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Provider Name | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20070524000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Valine, 1818 N Meade St, Appleton, WI 54911-3454 Ph: (920) 422-8534 | Alexander Valine, 1818 N Meade St, Appleton, WI 54911-3454 Ph: (920) 422-8534 |
Anna Quella, RD, LD, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-831-1602 |
Anna Lee Nushart, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-454-3172 Fax: 920-831-5093 |
Dana M Derenne, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-454-2672 Fax: 920-831-5093 |
Trina E Pachan, CD Dietitian Medicare: Medicare Enrolled Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-830-5962 Fax: 920-830-5093 |
Abby Vallejo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 N Westhill Blvd, Appleton, WI 54914 Phone: 920-968-2367 |
Mrs. Carrie Kristen Baum, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-749-1171 |
Cheryl Lynn Shockey, R.D., M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Appleton Medical Center 1818 North Meade Street, Appleton, WI 54911 Phone: 920-738-5356 |