| Mallory Michelle Grassmuck, MS, RD, LD | |
|
110 Ne Saint Lukes Blvd Ste 530, Lees Summit, MO 64086-6075 | |
| (816) 554-3838 | |
| (816) 554-1634 |
| Full Name | Mallory Michelle Grassmuck |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 110 Ne Saint Lukes Blvd Ste 530, Lees Summit, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992066351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1699 (Kansas) | Secondary |
| 133V00000X | Dietitian, Registered | 2011034424 (Missouri) | Primary |
| Provider Name | Digestive Health Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801286844 PECOS PAC ID: 9739494832 Enrollment ID: O20150819006984 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Michelle Grassmuck, MS, RD, LD 5321 Foxridge Dr, Apt 307, Mission, KS 66202-1565 Ph: (636) 578-6968 | Mallory Michelle Grassmuck, MS, RD, LD 110 Ne Saint Lukes Blvd Ste 530, Lees Summit, MO 64086-6075 Ph: (816) 554-3838 |
Carolyn Skelton, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1800 Nw Shamrock Ct, Lees Summit, MO 64081 Phone: 816-914-6288 Fax: 877-731-3326 | |
Wellness 4 Prevention, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1800 Nw Shamrock Ct, Lees Summit, MO 64081 Phone: 816-425-3220 Fax: 877-731-3326 | |
Quincy Emma Swanson, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2017 Ne Todd George Rd, Lees Summit, MO 64086 Phone: 630-673-8618 | |
Lauren Elizabeth Grant, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-347-5000 | |
Dr. Lydia Kaume, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Ne Missouri Rd, Lees Summit, MO 64086 Phone: 479-283-8185 | |
Lindsay Nelson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 312 Sw Greenwich Dr Ste 704, Lees Summit, MO 64082 Phone: 816-866-3756 Fax: 816-792-1429 | |
Mrs. Janine Marie Lewis, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-347-5197 |