Mrs Patricia K Reddicks, RD is a
Dietitian, Registered based in Lake Havasu City, Arizona. Mrs Patricia K Reddicks is licensed to practice in Arizona (license number 523071) and her current practice location is
101 Civic Center Ln, Lake Havasu City, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 855-8185.
NPI number for Mrs Patricia K Reddicks is 1245380476 and her current mailing address is 101 Civic Center Ln, Lake Havasu City, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245380476.
Healthcare Provider's Profile
Full Name | Mrs Patricia K Reddicks |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 101 Civic Center Ln, Lake Havasu City, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245380476
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Patricia K Reddicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245380476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 523071 (Arizona) | 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 Patricia K Reddicks 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 Patricia K Reddicks, RD 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 Ph: (928) 855-8185 | Mrs Patricia K Reddicks, RD 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 Ph: (928) 855-8185 |
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