Mrs Suzanne Carol Ickes, RD, LDN in Bethlehem, PA

Mrs Suzanne Carol Ickes, RD, LDN is a Dietitian, Registered based in Bethlehem, Pennsylvania. Mrs Suzanne Carol Ickes is licensed to practice in Pennsylvania (license number DN001762) and her current practice location is 2545 Schoenersville Rd, Lehighvalley Hospital -clinical Nutrition, Bethlehem, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (484) 788-1255.

NPI number for Mrs Suzanne Carol Ickes is 1124236385 and her current mailing address is 45 Warwick St, Suite 100, Bethlehem, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124236385.

Contact Information

	Mrs Suzanne Carol Ickes, RD, LDN
	2545 Schoenersville Rd, Lehighvalley Hospital -clinical Nutrition, Bethlehem, PA 18017-7300
	(484) 788-1255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Suzanne Carol Ickes
Gender	Female
Speciality	Dietitian, Registered
Location	2545 Schoenersville Rd, Bethlehem, Pennsylvania
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1124236385
Provider Enumeration Date: 05/20/2007
Last Update Date: 09/28/2016

Medical Identifiers

Medical identifiers for Mrs Suzanne Carol Ickes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124236385	NPI	-	NPPES
2630546000	Other	PA	INDEPENDENCE BLUE CROSS
2630546000	Other	PA	KEYSTONE HEALTH EAST
001793520	Other	PA	HIGHMARK BLUE SHIELD FOR FEDERAL EMPLOYEES
2624640	Other	PA	AETNA US HEALTHCARE
2630546000	Other	PA	PERSONALCHOICE/BLUECHOICE
055154	Other	PA	MEDICARE PROVIDER NUMBER
001793520000	Other	PA	AMERIHEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DN001762 (Pennsylvania)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Suzanne Carol Ickes is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Suzanne Carol Ickes, RD, LDN 45 Warwick St, Suite 100, Bethlehem, PA 18018-2431 Ph: (484) 788-1255	Mrs Suzanne Carol Ickes, RD, LDN 2545 Schoenersville Rd, Lehighvalley Hospital -clinical Nutrition, Bethlehem, PA 18017-7300 Ph: (484) 788-1255

Reviews and Comments

Dietitian, Registered in Bethlehem, PA

Amanda Blair Stone, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 215-262-5490
K.shan Performance Llc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1130 W Broad St Ste 101, Bethlehem, PA 18018 Phone: 484-554-9638
Lori Ahdieh, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2855 Schoenersville Rd, Clinical Nutrition, Bethlehem, PA 18017 Phone: 484-884-2964
Mrs. Shannon Rose Wacker, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 516-806-7758
Mallory Knoll, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 Highland Ave, Bethlehem, PA 18020 Phone: 610-861-8080
Amanda Egry, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 484-884-2964

Mrs Suzanne Carol Ickes, RD, LDN - Dietitian in Bethlehem, PA