Mrs Mary Elizabeth Petrik, RD L D is a
Dietitian, Registered based in Caldwell, Kansas. Mrs Mary Elizabeth Petrik is licensed to practice in Kansas (license number 280) and her current practice location is
601 S Osage, Caldwell, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 845-6492.
NPI number for Mrs Mary Elizabeth Petrik is 1922101286 and her current mailing address is 1007 W 160th St S, Caldwell, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922101286.
Healthcare Provider's Profile
Full Name | Mrs Mary Elizabeth Petrik |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 601 S Osage, Caldwell, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922101286
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Mary Elizabeth Petrik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922101286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 280 (Kansas) | 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 Mary Elizabeth Petrik 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 Mary Elizabeth Petrik, RD L D 1007 W 160th St S, Caldwell, KS 67022-8601 Ph: (620) 845-2984 | Mrs Mary Elizabeth Petrik, RD L D 601 S Osage, Caldwell, KS 67022-1654 Ph: (620) 845-6492 |
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