| Andrea Ruth Thompson, MS, RD, LDN | |
|
1600 E Jackson St, Macomb, IL 61455-2530 | |
| (309) 837-9917 | |
| Not Available |
| Full Name | Andrea Ruth Thompson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1600 E Jackson St, Macomb, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942676192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164005111 (Illinois) | Primary |
| Provider Name | Hy-vee Health Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629844568 PECOS PAC ID: 1254701618 Enrollment ID: O20240102002445 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Ruth Thompson, MS, RD, LDN 1600 E Jackson St, Macomb, IL 61455-2530 Ph: (309) 837-9917 | Andrea Ruth Thompson, MS, RD, LDN 1600 E Jackson St, Macomb, IL 61455-2530 Ph: (309) 837-9917 |
Ms. Jennifer Soucie, R.D., LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 E Jackson St, Macomb, IL 61455 Phone: 309-837-9917 | |
Brittany Figge, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 E Jackson St, Macomb, IL 61455 Phone: 309-837-9917 | |
Marilyn Kay Derry, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-833-4101 |