Kelley Blasa, RD, LDN - Dietitian in Hannibal, MO

Kelley Blasa, RD, LDN is a Dietitian, Registered based in Hannibal, Missouri. Kelley Blasa is licensed to practice in Illinois (license number ) and her current practice location is 11197 W Lakeshore Dr, Hannibal, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 221-1354.

NPI number for Kelley Blasa is 1700055100 and her current mailing address is 11197 W Lakeshore Dr, Hannibal, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700055100.

Contact Information

Kelley Blasa, RD, LDN
11197 W Lakeshore Dr,
Hannibal, MO 63401-7386
(573) 221-1354
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelley Blasa
GenderFemale
SpecialityDietitian, Registered
Location11197 W Lakeshore Dr, Hannibal, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700055100
  • Provider Enumeration Date: 02/29/2008
  • Last Update Date: 02/29/2008

Medical Identifiers

Medical identifiers for Kelley Blasa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700055100NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley Blasa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelley Blasa, RD, LDN
11197 W Lakeshore Dr,
Hannibal, MO 63401-7386

Ph: () -
Kelley Blasa, RD, LDN
11197 W Lakeshore Dr,
Hannibal, MO 63401-7386

Ph: (573) 221-1354

Reviews and Comments


Dietitian, Registered in Hannibal, MO

Mrs. Marie T Niemeyer, R.D.,L.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 6000 Hospital Drive, Hannibal, MO 63401
Phone: 573-406-1298    
Jill Marie Clark, MS, RD, LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-406-5952    
Mrs. Anna Laura Thomas, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 6000 Hospital Dr, Hannibal, MO 63401
Phone: 573-248-5370    
Mrs. Nancy Marie Hays, R.D., L.D.
Dietitian
Medicare: Medicare Enrolled
Practice Location: 6000 Hospital Drive, Hannibal, MO 63401
Phone: 573-248-5370    
Trey Allen Vuichard, MS, RD, LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 6000 Hospital Dr, Hannibal, MO 63401
Phone: 573-406-5907    
Olivia P Rees,
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-231-5952    Fax: 573-629-3382

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.