| Madison Kelley, | |
|
2911 Texas Ave S Ste 1000b, College Station, TX 77845-1184 | |
| (800) 465-3203 | |
| Not Available |
| Full Name | Madison Kelley |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 1 Years |
| Location | 2911 Texas Ave S Ste 1000b, College Station, Texas |
| 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 |
|---|---|---|---|
| 1124985627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Basic Balance Nutrition, Inc. | 3678838513 | 8 |
| Provider Name | Basic Balance Nutrition, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629582796 PECOS PAC ID: 3678838513 Enrollment ID: O20180524002461 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Kelley, 2911 Texas Ave S Ste 1000b, College Station, TX 77845-1184 Ph: (800) 465-3203 | Madison Kelley, 2911 Texas Ave S Ste 1000b, College Station, TX 77845-1184 Ph: (800) 465-3203 |
Monica Shields, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4187 |
Taylor Cyrus, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 311 Houston St., College Station, TX 77843 Phone: 979-458-4584 |
Katie Ann Venuti, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 796-913-5279 |
Meghan Windham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1264 Tamu, College Station, TX 77843 Phone: 979-458-8300 |
Emily Morris, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3919 Lienz Ln, College Station, TX 77845 Phone: 817-718-4545 |
Santiago Capetillo Gutierrez, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6336 Darlington Ave, College Station, TX 77845 Phone: 936-349-6546 |
Michelle Dohrman, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3235 Innsbruck Cir, College Station, TX 77845 Phone: 979-985-0645 |