| Mrs Pamela Dae Dick, MS, RD, CDCES | |
|
305 E Jefferson St, Boise, ID 83712-6231 | |
| (208) 381-7340 | |
| Not Available |
| Full Name | Mrs Pamela Dae Dick |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 25 Years |
| Location | 305 E Jefferson St, Boise, Idaho |
| 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 |
|---|---|---|---|
| 1598947368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3971987 (Idaho) | Primary |
| 133V00000X | Dietitian, Registered | DI00001224 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Hospital | Moses lake, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grant County Public Hospital District 1 | 9931095692 | 88 |
| Provider Name | Grant County Public Hospital District 1 |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Pamela Dae Dick, MS, RD, CDCES 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mrs Pamela Dae Dick, MS, RD, CDCES 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-7340 |
St Lukes Regional Medical Center Dietitian Medicare: Medicare Enrolled Practice Location: 1226 W River St, Boise, ID 83702 Phone: 208-331-1155 | |
Acme Markets Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-395-3963 Fax: 623-336-6363 | |
Natalie Dawn Echanis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 S Broadway Ave Ste 505, Boise, ID 83706 Phone: 208-780-6254 | |
Rachael Tatko, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13900 W Wainwright Dr, Boise, ID 83713 Phone: 208-433-9424 | |
Hailey Lizabeth Collette, MS Dietitian Medicare: May Accept Medicare Assignments Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-7081 Fax: 208-381-6009 | |
Ariana Lawrence, MS, RD, LD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-7081 Fax: 208-381-6009 | |
Daria T Pori, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1141 |