Elizabeth Gill, | |
1100 N Kentucky Ave, West Plains, MO 65775-2029 | |
(417) 256-9111 | |
Not Available |
Full Name | Elizabeth Gill |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1100 N Kentucky Ave, West Plains, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659952976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 20210148701 (Missouri) | Primary |
Provider Name | Ozarks Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
Mailing Address | Practice Location Address |
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Elizabeth Gill, 8898 County Road 9090, West Plains, MO 65775-6147 Ph: () - | Elizabeth Gill, 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111 |
Sara Ingersoll, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Ann W Smith, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Marsha Wright, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Christopher Lee Henson, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Landon Bryant Rodgers, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 |