Laura Shores, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Hazen, Arkansas. Her current practice location is
705 Highway 63 N, Hazen, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 255-3696.
Laura Shores is licensed to practice in Arkansas (license number 1331) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134654213.
Healthcare Provider's Profile
Full Name | Laura Shores |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 705 Highway 63 N, Hazen, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134654213
- Provider Enumeration Date: 04/26/2017
- Last Update Date: 06/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 9931454972
- Enrollment ID: I20210106002409
Medical Identifiers
Medical identifiers for Laura Shores such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134654213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1331 (Arkansas) | 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. Laura Shores is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Laura Shores, RD, LD Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Laura Shores, RD, LD 705 Highway 63 N, Hazen, AR 72064 Ph: (870) 255-3696 |
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