Odessa M Gallett, RDCD | |
143 South Gibson Street, Medford, WI 54451-1622 | |
(715) 748-2121 | |
(715) 748-7590 |
Full Name | Odessa M Gallett |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 143 South Gibson Street, Medford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245241272 | NPI | - | NPPES |
100531 | Other | WI | SECURITY HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1752 (Wisconsin) | Primary |
Provider Name | Aspirus Stanley Hospital & Clinics Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356311252 PECOS PAC ID: 8325957095 Enrollment ID: O20040102000347 |
Provider Name | Aspirus Medford Hospital & Clinics Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
Provider Name | Aspirus Stanley Hospital & Clinics Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053391730 PECOS PAC ID: 8325957095 Enrollment ID: O20140321001620 |
Mailing Address | Practice Location Address |
---|---|
Odessa M Gallett, RDCD 143 South Gibson Street, Medford, WI 54451-1622 Ph: (715) 748-2121 | Odessa M Gallett, RDCD 143 South Gibson Street, Medford, WI 54451-1622 Ph: (715) 748-2121 |
Kathryn P Bromann, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-2121 | |
Stacie Leahy, Dietitian Medicare: Medicare Enrolled Practice Location: 135 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 |