Libby Ann Dominik, RD is a
Dietitian, Registered based in Augusta, Missouri. Libby Ann Dominik is licensed to practice in Missouri (license number 850733) and her current practice location is
4386 Cappeln Osage Rd, Augusta, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 459-7273.
NPI number for Libby Ann Dominik is 1952957045 and her current mailing address is 4386 Cappeln Osage Rd, Augusta, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952957045.
Healthcare Provider's Profile
Full Name | Libby Ann Dominik |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 4386 Cappeln Osage Rd, Augusta, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952957045
- Provider Enumeration Date: 08/14/2019
- Last Update Date: 08/14/2019
Medical Identifiers
Medical identifiers for Libby Ann Dominik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952957045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 850733 (Missouri) | 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. Libby Ann Dominik 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 |
Libby Ann Dominik, RD 4386 Cappeln Osage Rd, Augusta, MO 63332-1118 Ph: (636) 459-7273 | Libby Ann Dominik, RD 4386 Cappeln Osage Rd, Augusta, MO 63332-1118 Ph: (636) 459-7273 |
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