| Holly Sue Ellison, RD, LD | |
|
1230 E Main St, Mankato, MN 56001-5066 | |
| (507) 625-1811 | |
| Not Available |
| Full Name | Holly Sue Ellison |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 13 Years |
| Location | 1230 E Main St, Mankato, Minnesota |
| 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 |
|---|---|---|---|
| 1114346350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3274 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mankato Clinic Ltd | 5597677955 | 221 |
| Provider Name | Mankato Clinic Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Sue Ellison, RD, LD 1230 E Main St, Mankato, MN 56001-8001 Ph: (507) 625-1811 | Holly Sue Ellison, RD, LD 1230 E Main St, Mankato, MN 56001-5066 Ph: (507) 625-1811 |
Hy-vee Health Pc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2010 Adams St, Mankato, MN 56001 Phone: 515-225-2930 | |
Emily Jean Rothstein, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Ms. Kellie C Hochhalter, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Rebecca J Gruenes, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Shelby Hohloch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1961 Premier Dr, Mankato, MN 56001 Phone: 507-387-2939 | |
Jennifer Donkin, Dietitian Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |