| Mildred Lincoln, RD | |
|
516 East Nizhoni Blvd, Gallup, NM 87301 | |
| (505) 722-1282 | |
| (505) 722-1525 |
| Full Name | Mildred Lincoln |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 516 East Nizhoni Blvd, Gallup, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780899203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-0658 (New Mexico) | Primary |
| Provider Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Mildred Lincoln, RD Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1282 | Mildred Lincoln, RD 516 East Nizhoni Blvd, Gallup, NM 87301 Ph: (505) 722-1282 |
Susan Roberta Warren, MS,RD,LN,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 928-729-8045 | |
Sonja R Baca, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 Redrock Dr, Gallup, NM 87301 Phone: 505-863-7250 | |
Sean David Myer, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1282 | |
Patricia A. Sheely, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1525 | |
Kay Josephson, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301 Phone: 505-722-1464 Fax: 505-722-1496 | |
Alvera Jean Enote, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1296 | |
Scott Paden, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820 |