| Mrs Sara E Eades Wade, MS, RD, LDN | |
|
1000 Medical Center Dr, Monticello, IL 61856-2116 | |
| (217) 762-1904 | |
| (217) 762-1905 |
| Full Name | Mrs Sara E Eades Wade |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1000 Medical Center Dr, Monticello, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740558428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.005589 (Illinois) | Primary |
| Provider Name | Kirby Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sara E Eades Wade, MS, RD, LDN 1020 E 1150 North Rd, Bement, IL 61813-3510 Ph: (217) 840-9464 | Mrs Sara E Eades Wade, MS, RD, LDN 1000 Medical Center Dr, Monticello, IL 61856-2116 Ph: (217) 762-1904 |
Natalie Jane Feriozzi, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 951 Medical Center Dr, Monticello, IL 61856 Phone: 217-762-1566 | |
Rowan Crozier, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Dr, Monticello, IL 61856 Phone: 217-762-2115 | |
Kristin Marie Woodbury, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Dr, Monticello, IL 61856 Phone: 217-762-1540 Fax: 217-762-1542 | |
Mrs. Kathleen Quinn, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Dr, Monticello, IL 61856 Phone: 217-762-1904 | |
Elizabeth Benson, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 705 Prairie Lane Dr, Monticello, IL 61856 Phone: 309-660-3455 | |
Sarah Pittman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 N Elm Blvd, Monticello, IL 61856 Phone: 217-418-0795 |