Shelley A Gaggini, DIETITIAN | |
4250 S Eason Blvd, Tupelo, MS 38801-6549 | |
(662) 377-6275 | |
(662) 377-6299 |
Full Name | Shelley A Gaggini |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 4250 S Eason Blvd, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437317583 | NPI | - | NPPES |
C03449 | Other | MS | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 710891 (Mississippi) | Primary |
Provider Name | North Mississippi Medical Clinics Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
Provider Name | North Mississippi Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
Mailing Address | Practice Location Address |
---|---|
Shelley A Gaggini, DIETITIAN 4250 S Eason Blvd, Tupelo, MS 38801-6549 Ph: (662) 377-6275 | Shelley A Gaggini, DIETITIAN 4250 S Eason Blvd, Tupelo, MS 38801-6549 Ph: (662) 377-6275 |
Julia Lucius, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-2500 Fax: 662-377-2069 | |
Diabetes Treatment Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 410 Council Cir, Tupelo, MS 38801 Phone: 662-377-2500 Fax: 662-377-2069 | |
Mrs. Jessica L Stebbins, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1114 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-840-6366 | |
Deborah Stone, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 S Green St, Building 2, Suite D, Tupelo, MS 38804 Phone: 662-815-3575 | |
Emily Littlejohn, MS,RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930 | |
Hooks Nutrition Consulting Dietitian Medicare: Medicare Enrolled Practice Location: 2610 Traceland Dr Ste A, Tupelo, MS 38801 Phone: 662-350-0398 | |
Erica Caples Witcher, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930 Fax: 662-377-5071 |