Ms Cynthia D Wilcox, RD, LD | |
2220 W Iowa Ave, Chickasha, OK 73018-2738 | |
(405) 779-2101 | |
(405) 222-0573 |
Full Name | Ms Cynthia D Wilcox |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2220 W Iowa Ave, Chickasha, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194847129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1245 (Oklahoma) | Primary |
Provider Name | American Health Assessments, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497027098 PECOS PAC ID: 3870755564 Enrollment ID: O20140424000221 |
Mailing Address | Practice Location Address |
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Ms Cynthia D Wilcox, RD, LD 332 Wichita Dr, Norman, OK 73071-7212 Ph: (405) 579-0969 | Ms Cynthia D Wilcox, RD, LD 2220 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 779-2101 |
Mrs. Kamela Lyniece Ratcliff, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1428 W Kansas Ave, Chickasha, OK 73018 Phone: 405-224-9443 Fax: 405-224-1190 | |
Mr. Kelly Miller, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-9587 | |
Ms. Tara Diane Conway, MS, RDLD Dietitian Medicare: Medicare Enrolled Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-9561 |