| Maddalyn Deitchman, RD | |
|
483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | |
| (602) 528-1200 | |
| (602) 528-1255 |
| Full Name | Maddalyn Deitchman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 483 W Seed Farm Rd, Sacaton, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255116836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86303694 (Arizona) | Primary |
| Provider Name | Gila River Health Care Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376538231 PECOS PAC ID: 0648174185 Enrollment ID: O20031125000648 |
| Mailing Address | Practice Location Address |
|---|---|
| Maddalyn Deitchman, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825 | Maddalyn Deitchman, RD 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 Ph: (602) 528-1200 |
Devi Sepperumal, Dietitian Medicare: May Accept Medicare Assignments Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 |
Maili Huck Carey, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 |
Ms. Cherie Kemper, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 |
Ms. Evelyn Bird, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85247 Phone: 602-528-1340 Fax: 602-528-1296 |
Ms. Laura R Munson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85248 Phone: 602-528-1340 Fax: 602-528-1296 |
Juli Marge Haws, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 483 W Seed Farm Road, Sacaton, AZ 85147 Phone: 602-528-1255 |
Jobeth C. Minks, B.S. Dietitian Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Road, Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-271-7870 |