| Jeanette Ila Waite, REGISTERED DIETITIAN | |
|
1212 E Sherman Blvd, Muskegon, MI 49444-1879 | |
| (231) 672-3648 | |
| (231) 672-3838 |
| Full Name | Jeanette Ila Waite |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1212 E Sherman Blvd, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659554996 | NPI | - | NPPES |
| N94150005 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 573775 (Michigan) | Primary |
| Provider Name | Mercy Health Partners Sub-specialty Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124042700 PECOS PAC ID: 3274504105 Enrollment ID: O20040804000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Ila Waite, REGISTERED DIETITIAN 1212 E Sherman Blvd, Muskegon, MI 49444-1879 Ph: (231) 672-3648 | Jeanette Ila Waite, REGISTERED DIETITIAN 1212 E Sherman Blvd, Muskegon, MI 49444-1879 Ph: (231) 672-3648 |
Debra Warren, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-4936 | |
Julie Marie Husmann, MNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1760 Peck St, Muskegon, MI 49441 Phone: 231-798-0369 | |
Kailee Conrad, REGISTERED DIETITIAN Dietitian Medicare: Medicare Enrolled Practice Location: 481 Shoreline Dr, Muskegon, MI 49440 Phone: 231-672-6100 Fax: 231-722-9136 | |
West Michigan Mnt,llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 433 Seminole Rd Ste 204, Muskegon, MI 49444 Phone: 231-215-5125 Fax: 231-760-4731 | |
Kristin Elizabeth Baird, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-4940 Fax: 231-672-3919 | |
Kristen Ballou, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-4682 | |
Abena Retemiah, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-769-0277 |