| Ms Tracey Lynn Wyatt, RD | |
|
8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102-3109 | |
| (703) 287-6400 | |
| Not Available |
| Full Name | Ms Tracey Lynn Wyatt |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 21 Years |
| Location | 8008 Westpark Dr, Mc Lean, Virginia |
| 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 |
|---|---|---|---|
| 1750636031 | NPI | - | NPPES |
| 962035 | Other | VA | COMMISSION ON DIETETIC REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 962035 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Provider Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tracey Lynn Wyatt, RD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424 | Ms Tracey Lynn Wyatt, RD 8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102-3109 Ph: (703) 287-6400 |
Ashley Balderson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1495 Chain Bridge Rd Ste 202, Mc Lean, VA 22101 Phone: 202-997-6372 | |
Mrs. Kelly Murphy Ellington, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7700 Tremayne Pl Apt 102, Mc Lean, VA 22102 Phone: 571-251-1168 | |
Ms. Allison Marco, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1360 Beverly Rd Ste 102, Mc Lean, VA 22101 Phone: 571-241-7000 | |
Ms. Monica Whent, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1115 Dead Run Dr, Mc Lean, VA 22101 Phone: 571-765-0497 | |
Theresa C Logan, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7621 Tremayne Pl Apt 213, Mc Lean, VA 22102 Phone: 704-651-6781 | |
Linda L Timm, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6829 Elm St, Suite 300, Mc Lean, VA 22101 Phone: 703-532-4892 | |
Taylor Merloni, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1495 Chain Bridge Rd Ste 202, Mc Lean, VA 22101 Phone: 202-997-6372 |