| Amy Prout, RD | |
|
12203 Corporate Pkwy, Mequon, WI 53092-3388 | |
| (262) 387-8200 | |
| Not Available |
| Full Name | Amy Prout |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 19 Years |
| Location | 12203 Corporate Pkwy, Mequon, Wisconsin |
| 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 |
|---|---|---|---|
| 1518360882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2269 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Provider Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Prout, RD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Amy Prout, RD 12203 Corporate Pkwy, Mequon, WI 53092-3388 Ph: (262) 387-8200 |
Mrs. Natalia G Woehl, RD.CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 W White Oak Way, Mequon, WI 53092 Phone: 414-766-1123 | |
Abbey Beck, Dietitian Medicare: Medicare Enrolled Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-7657 | |
Mrs. Jennifer Lynn Melcher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8241 W Highlander Dr, Mequon, WI 53097 Phone: 630-699-2177 | |
Shoshana Silver, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11305 N Bobolink Ln, Mequon, WI 53092 Phone: 262-957-7350 | |
Lynn Marie Clark, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10500 N. Stratford Place, Mequon, WI 53092 Phone: 262-242-7808 | |
Mrs. Lisa Lee Hanson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-7376 | |
Sarah Sherman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10602 N Port Washington Rd Ste 101, Mequon, WI 53092 Phone: 414-367-6376 |