Holly Bruemmer, RD, LD | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(573) 632-5000 | |
(573) 632-5879 |
Full Name | Holly Bruemmer |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1125 Madison St, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588238901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2019028910 (Missouri) | Primary |
Provider Name | Lake Regional Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
Mailing Address | Practice Location Address |
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Holly Bruemmer, RD, LD 2504 Walther Ave, Jefferson City, MO 65109-9196 Ph: (573) 690-8891 | Holly Bruemmer, RD, LD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
Lindsey M. Koelling, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3721 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-893-2505 Fax: 573-635-1768 | |
Mrs. Tina R Wood, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5192 Fax: 573-632-5879 | |
Ginger R Meyer, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5774 Fax: 573-761-4351 | |
Sarah Jeanne Eber, LD RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3400 W Truman Blvd, Jefferson City, MO 65109 Phone: 660-349-8881 | |
Rebecca Dirkes, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 Norris Dr, Jefferson City, MO 65109 Phone: 406-599-6871 | |
Lisa L Finley, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5781 Fax: 573-761-4351 |