| Maria L Boeck, RDN,CDE | |
|
525 Airport Dr, Oneida, WI 54155-9035 | |
| (920) 869-4829 | |
| (920) 869-4909 |
| Full Name | Maria L Boeck |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 525 Airport Dr, Oneida, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497273163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3134-29 (Wisconsin) | Primary |
| Provider Name | Bellin Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria L Boeck, RDN,CDE Po Box 365, Oneida, WI 54155-0365 Ph: (920) 869-4910 | Maria L Boeck, RDN,CDE 525 Airport Dr, Oneida, WI 54155-9035 Ph: (920) 869-4829 |
Jackie L Havel, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 Fax: 920-869-1782 | |
Kimberly Damrow, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Drive, Oneida, WI 54155 Phone: 920-869-2711 | |
Tina Jorgensen, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 Fax: 920-869-1782 | |
Heidi Mccann, RD Dietitian Medicare: Medicare Enrolled Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 Fax: 920-869-1782 | |
Elizabeth Scheelke, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 | |
Alyssa J Hudak, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Rd, Oneida, WI 54155 Phone: 920-869-2711 |