Jesse A Gilmore, RD is a
Dietitian, Registered based in Stigler, Oklahoma. Jesse A Gilmore is licensed to practice in Oklahoma (license number 1001555) and his current practice location is
1505 E Main St, Stigler, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 967-3368.
NPI number for Jesse A Gilmore is 1861024853 and his current mailing address is Po Box 179, Stigler, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861024853.
Healthcare Provider's Profile
| Full Name | Jesse A Gilmore |
|---|
| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | 1505 E Main St, Stigler, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861024853
- Provider Enumeration Date: 02/07/2020
- Last Update Date: 02/07/2020
Medical Identifiers
Medical identifiers for Jesse A Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861024853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1001555 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse A Gilmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jesse A Gilmore, RD
Po Box 179,
Stigler, OK 74462-0179
Ph: (918) 967-3368 | Jesse A Gilmore, RD
1505 E Main St,
Stigler, OK 74462-2913
Ph: (918) 967-3368 |
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