Lori Gay Pettet, | |
211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | |
(573) 331-5145 | |
Not Available |
Full Name | Lori Gay Pettet |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 211 Saint Francis Dr, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801127899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 2001027038 (Missouri) | Primary |
Provider Name | Saint Francis Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
Mailing Address | Practice Location Address |
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Lori Gay Pettet, Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Lori Gay Pettet, 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 Ph: (573) 331-5145 |
Caroline Williams, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2825 Bloomfield Rd, Cape Girardeau, MO 63703 Phone: 573-335-0158 | |
Mrs. Emma Suzanne Schumacher, MA, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 326 S Broadview St Ste B, Cape Girardeau, MO 63703 Phone: 573-979-7851 | |
Mrs. Holly Davis, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-344-6169 | |
Mrs. Anita N Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 408 S Broadview St, Cape Girardeau, MO 63703 Phone: 573-332-0808 | |
Amanda Jane Hutson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 | |
Mrs. Mary Ellen Gipson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 946 Karau Ln, Cape Girardeau, MO 63701 Phone: 573-318-5649 | |
Mrs. Stephanie Renee Asmus, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 |