Mrs Lera Bethany Booth, RD LD is a
Dietitian, Registered based in Hartwell, Georgia. Mrs Lera Bethany Booth is licensed to practice in Georgia (license number LD002511) and her current practice location is
138 W Gibson St, Hartwell, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 856-6245.
NPI number for Mrs Lera Bethany Booth is 1780964494 and her current mailing address is 138 W Gibson St, Hartwell, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780964494.
Healthcare Provider's Profile
Full Name | Mrs Lera Bethany Booth |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 138 W Gibson St, Hartwell, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780964494
- Provider Enumeration Date: 08/25/2011
- Last Update Date: 08/25/2011
Medical Identifiers
Medical identifiers for Mrs Lera Bethany Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780964494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD002511 (Georgia) | 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. Mrs Lera Bethany Booth 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 |
Mrs Lera Bethany Booth, RD LD 138 W Gibson St, Hartwell, GA 30643-1847 Ph: (706) 856-6245 | Mrs Lera Bethany Booth, RD LD 138 W Gibson St, Hartwell, GA 30643-1847 Ph: (706) 856-6245 |
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