| Andrea Porter, RDN | |
|
935 E Lincoln Rd, Idaho Falls, ID 83401-2119 | |
| (208) 552-0800 | |
| Not Available |
| Full Name | Andrea Porter |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 935 E Lincoln Rd, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376114389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-934 (Idaho) | Primary |
| Provider Name | Bmh Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Porter, RDN 1206 Danielle Way, Blackfoot, ID 83221-5896 Ph: (120) 822-6420 | Andrea Porter, RDN 935 E Lincoln Rd, Idaho Falls, ID 83401-2119 Ph: (208) 552-0800 |
Rebecca T Sulik, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582 | |
Macey Renae Leatham, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1298 Idaho Ave Apt 1, Idaho Falls, ID 83402 Phone: 208-716-0244 | |
Luana Tomchak, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1957 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-2352 Fax: 208-528-3332 | |
Kristine Rane, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6100 | |
Mrs. Laura Cheney Robinson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6125 | |
Sari Jane Landers, RDN, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2327 Coronado St, Idaho Falls, ID 83404 Phone: 208-528-1746 Fax: 208-528-1934 | |
Leslee Elyse Blanch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1542 E 73rd S, Idaho Falls, ID 83404 Phone: 208-529-1390 |