| Rebecca Light, RDN, LD | |
|
Po Box 2867, Mobile, AL 36652-2867 | |
| (251) 690-8158 | |
| (251) 544-2149 |
| Full Name | Rebecca Light |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | Po Box 2867, Mobile, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720506868 | NPI | - | NPPES |
| 011846 | Other | AL | MEDICARE PAYEE NUMBER |
| 630000013 | Medicaid | AL | |
| 1063439065 | Other | AL | MAIN GROUP NPI PAYEE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1940 (Alabama) | Primary |
| Provider Name | Mobile County Board Of Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063439065 PECOS PAC ID: 9931208386 Enrollment ID: O20180913000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Light, RDN, LD Po Box 2867, Mobile, AL 36652-2867 Ph: () - | Rebecca Light, RDN, LD Po Box 2867, Mobile, AL 36652-2867 Ph: (251) 690-8158 |
Colleen Dawley, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2561 Dauphin St, Mobile, AL 36606 Phone: 251-478-2214 | |
Innovative Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Memorial Hospital Dr Ste 3c, Mobile, AL 36608 Phone: 251-272-9654 Fax: 251-243-4942 | |
Mrs. Lauren Groover, RDN LD Dietitian Medicare: Medicare Enrolled Practice Location: 55 Midtown Park E, Mobile, AL 36606 Phone: 251-478-2233 Fax: 877-816-0592 | |
Ms. Jamie Hamblin Bodie, PA Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7000 Fax: 251-471-7096 | |
Tinsley Phillips Chavers, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617 Phone: 251-470-5890 Fax: 251-471-7925 | |
Lila S Sanders, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2029b Airport Blvd Ste 195, Mobile, AL 36606 Phone: 251-478-2233 Fax: 251-478-2231 | |
Margaret Inge, MS, RDN LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 55 Midtown Park E, Mobile, AL 36606 Phone: 251-478-2233 Fax: 877-816-0592 |