| Kelly S Lutzen, BS | |
|
345 W Washington Ave, Madison, WI 53703-2996 | |
| (608) 417-8300 | |
| Not Available |
| Full Name | Kelly S Lutzen |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 25 Years |
| Location | 345 W Washington Ave, Madison, 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 |
|---|---|---|---|
| 1811380033 | NPI | - | NPPES |
| 2247-029 | Other | WI | CERTIFIED DIETITIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2247-029 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meriter Hospital Inc | 3971412735 | 121 |
| Provider Name | Meriter Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548280225 PECOS PAC ID: 3971412735 Enrollment ID: O20031126000346 |
| Provider Name | Divine Savior Healthcare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly S Lutzen, BS 202 S Park St, Madison, WI 53715-1507 Ph: () - | Kelly S Lutzen, BS 345 W Washington Ave, Madison, WI 53703-2996 Ph: (608) 417-8300 |
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 |