| Cheryl Lea Costomiris, REGISTERED DIETITIAN | |
|
1415 E Kincaid St, Mount Vernon, WA 98274-4126 | |
| (360) 814-8329 | |
| (360) 814-5515 |
| Full Name | Cheryl Lea Costomiris |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1415 E Kincaid St, Mount Vernon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770233173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D100000443 (Washington) | Primary |
| Provider Name | Public Hospital Dist No 1 Skagit |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Lea Costomiris, REGISTERED DIETITIAN 1415 E Kincaid St, Mount Vernon, WA 98274-4126 Ph: () - | Cheryl Lea Costomiris, REGISTERED DIETITIAN 1415 E Kincaid St, Mount Vernon, WA 98274-4126 Ph: (360) 814-8329 |
Sea Mar Chc - Skagit Valley Mss Dietitian Medicare: Not Enrolled in Medicare Practice Location: 125 N 18th St, Mount Vernon, WA 98273 Phone: 360-848-6616 Fax: 360-588-5565 | |
Sea-mar Community Health Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 110 N Laventure Rd, Suite D, Mount Vernon, WA 98273 Phone: 360-424-5344 Fax: 360-424-7850 | |
Joan Pfeiffer, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-4111 | |
Desiree Ann Webster, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1223 E Division St, Mount Vernon, WA 98274 Phone: 360-428-6707 Fax: 360-428-7847 | |
Lou Kupka-schutt, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 306-424-4111 | |
Wende Dolstad, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 330 Pacific Pl, Mount Vernon, WA 98273 Phone: 360-416-7595 Fax: 360-416-7599 | |
Alison Janai Weppler, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 N Laventure Rd, Mount Vernon, WA 98273 Phone: 360-428-4075 Fax: 360-428-5813 |