| Gemalli Austin, RD, CDE | |
|
925 Bevins Ct, Lakeport, CA 95453-9754 | |
| (707) 263-8382 | |
| Not Available |
| Full Name | Gemalli Austin |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 925 Bevins Ct, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407283419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 928379 (California) | Primary |
| Provider Name | Lake County Tribal Health Consortium Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Gemalli Austin, RD, CDE 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 | Gemalli Austin, RD, CDE 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 |
Kathleen E Duchene, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5007 Fax: 707-262-5145 | |
Kim Schott, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 831 Bevins St, Lakeport, CA 95453 Phone: 707-263-5253 | |
Dawn Pavli, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8392 | |
Katia Zogg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-533-2740 | |
Joan Devito, R.D.,C.D.E. Dietitian Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019 |