| Jennie Till, RD/LD | |
|
5016 W 4th Ave, Stillwater, OK 74074-6956 | |
| (580) 491-0720 | |
| Not Available |
| Full Name | Jennie Till |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 5016 W 4th Ave, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790271948 | NPI | - | NPPES |
| 1750716767 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2294 (Oklahoma) | Primary |
| Provider Name | Cleveland Area Hospital Holdings Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1427295872 PECOS PAC ID: 7810053444 Enrollment ID: O20090309000198 |
| Provider Name | Cleveland Area Hospital Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801020565 PECOS PAC ID: 7810053444 Enrollment ID: O20090909000326 |
| Provider Name | Ou Health Partners Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Till, RD/LD 5016 W 4th Ave, Stillwater, OK 74074-6956 Ph: (580) 491-0720 | Jennie Till, RD/LD 5016 W 4th Ave, Stillwater, OK 74074-6956 Ph: (580) 491-0720 |
Emily Emerson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-742-5801 | |
Jan E Smith, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1323 W 6th Ave, Box 2408, Stillwater, OK 74074 Phone: 405-742-5458 Fax: 405-742-5697 | |
Mrs. Rosemary Lynn Yurczyk, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2220 W 7th Ave, Stillwater, OK 74074 Phone: 405-377-1988 Fax: 405-624-1988 | |
Megan Kelly, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-742-5801 | |
Lauren Abbott, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1218 E Swim Ave, Stillwater, OK 74075 Phone: 918-671-1848 | |
Ms. Kari Elizabeth Galliart, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4109 W Pheasant Rdg, Stillwater, OK 74074 Phone: 405-372-8643 | |
Grace Evangeline White, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3398 E 6th Ave Apt B103, Stillwater, OK 74074 Phone: 317-760-5690 |