| Bailey Lynn Shupe, RD | |
|
9012 E Hannibal St, Mesa, AZ 85207-4234 | |
| (480) 459-1601 | |
| Not Available |
| Full Name | Bailey Lynn Shupe |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 9 Years |
| Location | 9012 E Hannibal St, Mesa, Arizona |
| 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 |
|---|---|---|---|
| 1437939287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86011741 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner - University Physician Specialists Llc | 5991008054 | 343 |
| Provider Name | Banner - University Physician Specialists LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Lynn Shupe, RD 9012 E Hannibal St, Mesa, AZ 85207-4234 Ph: (480) 459-1601 | Bailey Lynn Shupe, RD 9012 E Hannibal St, Mesa, AZ 85207-4234 Ph: (480) 459-1601 |
Linda Miranda, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3356 E Javelina Ave, Mesa, AZ 85204 Phone: 602-397-0455 |
Alexandra Marie Franklin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 S. Power Rd., Bldg. #9, Suite 222, Mesa, AZ 85209 Phone: 480-276-5984 |
Dr. John St. Rose Jr., ND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1050 E University Dr Ste 10, Mesa, AZ 85203 Phone: 480-712-7099 |
Lauren Turilli, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 W Brown Rd, Mesa, AZ 85201 Phone: 480-684-5087 Fax: 480-684-5026 |
Ms. Antoinetta V Anselmo, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 544 N Alma School Rd Unit 5, Mesa, AZ 85201 Phone: 602-803-4522 Fax: 480-621-8109 |
Julie Lammers, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1450 S Dobson Rd Ste B221, Mesa, AZ 85202 Phone: 480-827-5370 |
Rogelio Pena, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1511 W 7th Pl, Mesa, AZ 85201 Phone: 480-280-4414 |