Mrs Cheryl G Lummis, APRN,CDE | |
340 Kelley Pkwy, Mexico, MO 65265-3811 | |
(573) 582-1234 | |
(573) 582-1212 |
Full Name | Mrs Cheryl G Lummis |
---|---|
Gender | Female |
Speciality | Certified Clinical Nurse Specialist (cns) |
Experience | 15 Years |
Location | 340 Kelley Pkwy, Mexico, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962438762 | NPI | - | NPPES |
2012005566 | Other | MO | CLINICAL NURSE SPECIALIST |
2041-0485 | Other | MO | CERTIFIED DIABETES EDUCA |
143916 | Other | MO | NURSING LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WD0400X | Registered Nurse - Diabetes Educator | 143916 (Missouri) | Secondary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 2012005566 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Central Missouri Behavioral Health Services, Inc. | 5395659403 | 7 |
Entity Name | East Central Missouri Behavioral Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501 |
Entity Name | Ssm Audrain Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841334836 PECOS PAC ID: 3678481827 Enrollment ID: O20040129000368 |
Entity Name | Noble Health Audrain Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447841168 PECOS PAC ID: 0446667299 Enrollment ID: O20210430001237 |
Mailing Address | Practice Location Address |
---|---|
Mrs Cheryl G Lummis, APRN,CDE 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 | Mrs Cheryl G Lummis, APRN,CDE 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 |
Veneta J Raboin, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 |