| Micca Lynn Donohoo, RD | |
|
822 S Prospect St, Burlington, VT 05401-3513 | |
| (802) 222-6907 | |
| Not Available |
| Full Name | Micca Lynn Donohoo |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 25 Years |
| Location | 822 S Prospect St, Burlington, Vermont |
| 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 |
|---|---|---|---|
| 1093968273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164003788 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Clinic, Llp | 0547166076 | 678 |
| Provider Name | Springfield Clinic, LLP |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Micca Lynn Donohoo, RD 822 S Prospect St, Burlington, VT 05401-3513 Ph: (800) 577-5368 | Micca Lynn Donohoo, RD 822 S Prospect St, Burlington, VT 05401-3513 Ph: (802) 222-6907 |
Mrs. Desiree De Waal, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 S Prospect St, Uhc Arnold 2318, Renal Clinic, Burlington, VT 05401 Phone: 802-847-3203 Fax: 802-847-3607 |
Wendy Hess, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4324 |
Mrs. Patricia Logan Mckibben, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3640 |
Sarah Dramstad, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 |
Kimberly Swartz Doyle, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-1601 |
Taylor Meeth, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 |
Ellen Gloria Evans, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fletcher Allen Health Care, Burlington, VT 05401 Phone: 802-847-1400 |