| Bettejane Kremen Goldman, MS, RD, LD | |
|
4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | |
| (952) 381-3434 | |
| (952) 377-1430 |
| Full Name | Bettejane Kremen Goldman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4330 Cedar Lake Rd S, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528211836 | NPI | - | NPPES |
| 535932 | Other | MN | REGISTERED DIETITION |
| 23317 | Other | MN | BOARD OF DIETETICS AND NUTRITION LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 23317 (Minnesota) | Primary |
| Provider Name | Life Medical Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740222496 PECOS PAC ID: 6204938350 Enrollment ID: O20070221000166 |
| Provider Name | Minnesota Medical And Rehabilitative Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154302545 PECOS PAC ID: 6406764703 Enrollment ID: O20100728001200 |
| Mailing Address | Practice Location Address |
|---|---|
| Bettejane Kremen Goldman, MS, RD, LD 2641 Natchez Ave S, St Louis Park, MN 55416-3946 Ph: (952) 922-8865 | Bettejane Kremen Goldman, MS, RD, LD 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 Ph: (952) 381-3434 |
Arlene M Monk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666 | |
Diane M Reader, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-7169 Fax: 952-993-0300 | |
Britta L Mattison, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3435 | |
Andrea L Miller, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3200 Inglewood Ave S Apt 132, St Louis Park, MN 55416 Phone: 206-619-7366 | |
Jacquelyn Warner, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3525 Monterey Dr, St Louis Park, MN 55416 Phone: 952-993-6200 | |
Colleen Fischer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393 | |
Lindsey Smith, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393 |