| Elizabeth Gill, | |
|
1100 N Kentucky Ave, West Plains, MO 65775-2029 | |
| (417) 256-9111 | |
| Not Available |
| Full Name | Elizabeth Gill |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1100 N Kentucky Ave, West Plains, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659952976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 20210148701 (Missouri) | Primary |
| Provider Name | Ozarks Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Gill, 8898 County Road 9090, West Plains, MO 65775-6147 Ph: () - | Elizabeth Gill, 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111 |
Sara Ingersoll, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Ann W Smith, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Marsha Wright, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Christopher Lee Henson, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Landon Bryant Rodgers, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 |