| Ms Jeana Barbara Van Dyke, RD, LD, CDE | |
|
631 Elm St Sw, Suite 202, Albany, OR 97321-1952 | |
| (541) 812-4844 | |
| (541) 812-4849 |
| Full Name | Ms Jeana Barbara Van Dyke |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 631 Elm St Sw, Albany, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972680726 | NPI | - | NPPES |
| 500639570 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 000503 (Oregon) | Primary |
| Provider Name | Albany General Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jeana Barbara Van Dyke, RD, LD, CDE 1046 6th Ave Sw, Albany, OR 97321-1916 Ph: (541) 812-4000 | Ms Jeana Barbara Van Dyke, RD, LD, CDE 631 Elm St Sw, Suite 202, Albany, OR 97321-1952 Ph: (541) 812-4844 |
Rachel Ellen Harmon, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4530 | |
Miss Brooke Danielle Duncan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4523 Fax: 541-812-4004 | |
Cynthia Jan Cole, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Samaritan Albany General Hospital, Albany, OR 97321 Phone: 541-812-4843 | |
Barbara P George, MS, RD, LD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 534 Pleasant View Way Nw, Suite 100, Albany, OR 97321 Phone: 541-812-5656 | |
Jessica Ann Davis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4945 Fax: 541-812-4004 | |
Serena Stearns-garland, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 315 4th Ave Sw, Albany, OR 97321 Phone: 541-967-3866 | |
Heidi R Graham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4530 Fax: 541-812-4004 |