| Emily Hope Kubisiak, RD | |
|
2820 Roosevelt Rd, Marinette, WI 54143-3834 | |
| (715) 735-5225 | |
| (175) 735-5388 |
| Full Name | Emily Hope Kubisiak |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 7 Years |
| Location | 2820 Roosevelt Rd, Marinette, Wisconsin |
| 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 |
|---|---|---|---|
| 1972013985 | NPI | - | NPPES |
| 86098663 | Other | COMMISSION ON DIETETIC REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3204-29 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 513 |
| Provider Name | Bellin Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Provider Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Hope Kubisiak, RD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Emily Hope Kubisiak, RD 2820 Roosevelt Rd, Marinette, WI 54143-3834 Ph: (715) 735-5225 |
Danielle L Denruyter, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Shore Dr, Marinette, WI 54143 Phone: 715-735-4200 | |
Brooke Ashton Villalpando, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 | |
Jena K Doemel, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Shore Dr, Marinette, WI 54143 Phone: 715-732-4200 | |
Vanessa Victoria Vincent, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2820 Roosevelt Rd, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-735-5388 | |
Nola M Hardy, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3130 Shore Dr, Marinette, WI 54143 Phone: 715-735-7421 | |
Brianna Grosso, Dietitian Medicare: Medicare Enrolled Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 | |
Jean Bouche, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Shore Dr, Dietary, Marinette, WI 54143 Phone: 715-735-4200 Fax: 715-735-8017 |