| Diana Marie Pederson, RDCD | |
|
20 S Park St, Madison, WI 53715-1348 | |
| (608) 287-2770 | |
| (608) 287-2777 |
| Full Name | Diana Marie Pederson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 20 S Park St, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578747630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2067-29 (Wisconsin) | Primary |
| Provider Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Marie Pederson, RDCD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Diana Marie Pederson, RDCD 20 S Park St, Madison, WI 53715-1348 Ph: (608) 287-2770 |
Ms. Lauren Begnel, RD LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1310 Mendota St Ste 119, Madison, WI 53714 Phone: 608-747-7878 | |
Mariana Gandolfo Bustamante, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 621 Science Dr, Madison, WI 53711 Phone: 608-265-8303 | |
Innovative Nutrition Solutions, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 414 Donofrio Dr, Suite 120, Madison, WI 53719 Phone: 608-836-3473 Fax: 608-831-5319 | |
Mrs. Karyn Evelyn Moehring, MA, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Schroeder Ct, Suite 230, Madison, WI 53711 Phone: 608-467-3473 Fax: 608-831-5319 | |
Ann Marie Mader, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792 Phone: 608-662-0817 Fax: 608-203-4544 | |
Ann M Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792 Phone: 608-662-0817 Fax: 608-203-4544 | |
Ms. Janet K Mraz, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ter, Vah Nutr & Fd Svc (120), Madison, WI 53705 Phone: 608-256-1901 Fax: 608-280-7174 |