Matthew Usmiller, | |
12509 Oak Forest Dr, Gulfport, MS 39503-5730 | |
(228) 860-5636 | |
Not Available |
Full Name | Matthew Usmiller |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 12509 Oak Forest Dr, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801543004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86070183 (Mississippi) | Primary |
Provider Name | Southeast Alaska Regional Health Consortium |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
Provider Name | The Fort Defiance Indian Hospital Board, Incorporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
Mailing Address | Practice Location Address |
---|---|
Matthew Usmiller, 12509 Oak Forest Dr, Gulfport, MS 39503-5730 Ph: () - | Matthew Usmiller, 12509 Oak Forest Dr, Gulfport, MS 39503-5730 Ph: (228) 860-5636 |
Mrs. Julie Kersh Appel, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4054 | |
Miss Crystal A Langlois, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3239 Fax: 228-867-4139 | |
Adrianne Jones, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-575-2827 | |
Melissa Yolette Spiers-ladner, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-575-2827 Fax: 228-867-5009 | |
Amanda Woodruff, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3167 | |
Mrs. Jeanne Schmidt Andry, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3300 15th St, Gulfport, MS 39501 Phone: 228-868-0111 Fax: 228-863-0802 | |
Mrs. Angela Maria Cuevas, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3653 Fax: 228-867-4139 |