Mrs Susan Dethman, CDR is a
Dietitian, Registered based in Wewoka, Oklahoma. Mrs Susan Dethman is licensed to practice in Texas (license number T202394) and her current practice location is
Hwy 56 & 270 Junction, Wewoka, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 257-7318.
NPI number for Mrs Susan Dethman is 1356340442 and her current mailing address is Po Box 1475, Wewoka, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356340442.
Healthcare Provider's Profile
Full Name | Mrs Susan Dethman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | Hwy 56 & 270 Junction, Wewoka, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356340442
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Susan Dethman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356340442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | T202394 (Texas) | 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 Susan Dethman 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 Susan Dethman, CDR Po Box 1475, Wewoka, OK 74884-1475 Ph: (405) 257-7318 | Mrs Susan Dethman, CDR Hwy 56 & 270 Junction, Wewoka, OK 74884 Ph: (405) 257-7318 |
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