| Lisa Heider Bertram, RD | |
|
2744 E Fort Union Blvd, Cottonwood Heights, UT 84121-3447 | |
| (734) 330-1101 | |
| Not Available |
| Full Name | Lisa Heider Bertram |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 4 Years |
| Location | 2744 E Fort Union Blvd, Cottonwood Heights, Utah |
| 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 |
|---|---|---|---|
| 1013751197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sensibly Sprouted Llc | 4789019241 | 8 |
| Provider Name | Sensibly Sprouted LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700368420 PECOS PAC ID: 4789019241 Enrollment ID: O20200110002443 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Heider Bertram, RD 2744 E Fort Union Blvd, Cottonwood Heights, UT 84121-3447 Ph: (734) 330-1101 | Lisa Heider Bertram, RD 2744 E Fort Union Blvd, Cottonwood Heights, UT 84121-3447 Ph: (734) 330-1101 |
Hannah Stoker, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2082 E Karin Ct Apt 301, Cottonwood Heights, UT 84121 Phone: 651-492-4350 |
Kaitlyn E Livings, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3031 E Fort Union Blvd, Cottonwood Heights, UT 84121 Phone: 205-834-5293 |
Denise Martinez Gascoigne, MS, RD, CN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3423 E Antler Way, Cottonwood Heights, UT 84121 Phone: 508-505-0015 Fax: 508-448-0404 |
Carl Bombardier, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2311 E Creek Rd, Cottonwood Heights, UT 84093 Phone: 715-309-3513 |
Loren Psalidas, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2837 E Bridgewater Dr, Cottonwood Heights, UT 84121 Phone: 385-324-9712 |
Kelsey Pearson, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2084 E Karin Ct, Cottonwood Heights, UT 84121 Phone: 385-246-3936 |
Megan Staheli, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7050 S Highland Dr Ste 310, Cottonwood Heights, UT 84121 Phone: 801-996-3414 |