Adrienne Elizabeth Radcliff Hefner, RD/LD | |
4200 W Memorial Rd Ste 508, Oklahoma City, OK 73120-8359 | |
(918) 755-7561 | |
Not Available |
Full Name | Adrienne Elizabeth Radcliff Hefner |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4200 W Memorial Rd Ste 508, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639543424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 2093 (Oklahoma) | Primary |
Provider Name | Banister & Associates, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659593168 PECOS PAC ID: 4688773302 Enrollment ID: O20070621000147 |
Mailing Address | Practice Location Address |
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Adrienne Elizabeth Radcliff Hefner, RD/LD 5335 E 29th St, Tulsa, OK 74114-6305 Ph: (918) 625-6263 | Adrienne Elizabeth Radcliff Hefner, RD/LD 4200 W Memorial Rd Ste 508, Oklahoma City, OK 73120-8359 Ph: (918) 755-7561 |
Rebekah Lea Maxwell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1695 | |
Mrs. Lisha M Smathers, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9353 Sw 21st St, Oklahoma City, OK 73128 Phone: 405-627-5650 | |
Kelsey Duncan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3433 Nw 56th St, #970, Oklahoma City, OK 73112 Phone: 405-951-2131 Fax: 405-951-2135 | |
Michelle Tillinger, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-853-0128 | |
Holly Michelle Mistler, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3758 Fax: 405-936-5288 | |
Mr. Anthony Ray Perry, R.D., L.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-270-0501 | |
Mercy Hospital Oklahoma City, Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-755-1515 |