| Jane Walta, RD | |
|
1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | |
| (918) 316-4572 | |
| (580) 354-5105 |
| Full Name | Jane Walta |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477881712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 915 (Oklahoma) | Primary |
| Provider Name | Lawton Indian Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301 |
| Provider Name | Anadarko Indian Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881637403 PECOS PAC ID: 7719931559 Enrollment ID: O20050304000365 |
| Provider Name | Carnegie Indian Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457459158 PECOS PAC ID: 1456456144 Enrollment ID: O20071217000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Walta, RD 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: (918) 316-4572 | Jane Walta, RD 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: (918) 316-4572 |
Jamika Alise Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3501 E Gore Blvd Apt 221, Lawton, OK 73501 Phone: 804-704-2966 | |
Ms. Bandy Jo Rackley, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 5110 W Gore Blvd, Lawton, OK 73505 Phone: 580-713-3123 | |
Amber Dawn Felty, RDN/LD Dietitian Medicare: Medicare Enrolled Practice Location: 4006 Ne Realtree Dr, Lawton, OK 73507 Phone: 580-215-9465 | |
Mrs. Teresa Susanne Scarbrough, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8699 Fax: 580-585-5461 | |
Mrs. Jo Ann Holland, R.D., L.D.,C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-354-5240 Fax: 580-354-5105 | |
Jan Marie Miller, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-585-5554 Fax: 580-355-5893 | |
Mnt Diabetes Services Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd, Suite 103, Lawton, OK 73505 Phone: 580-250-6407 Fax: 580-355-5893 |