Mrs Lori Watson Baumgardner, RD is a medicare enrolled "Dietitian, Registered" provider in Wytheville, Virginia. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is
165 Peppers Ferry Rd, Wytheville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 223-5400.
Mrs Lori Watson Baumgardner is licensed to practice in North Carolina (license number L003718) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114223104.
Healthcare Provider's Profile
| Full Name | Mrs Lori Watson Baumgardner |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 15 Years |
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| Location | 165 Peppers Ferry Rd, Wytheville, Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lori Watson Baumgardner graduated from medical school in 2011
NPI Data:
- NPI Number: 1114223104
- Provider Enumeration Date: 02/08/2011
- Last Update Date: 08/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 9335320472
- Enrollment ID: I20250808003684
Medical Identifiers
Medical identifiers for Mrs Lori Watson Baumgardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114223104 | NPI | - | NPPES |
| 2995088 | Other | | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | L003718 (North Carolina) | 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. Mrs Lori Watson Baumgardner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Lori Watson Baumgardner, RD
165 Peppers Ferry Rd,
Wytheville, VA 24382-2070
Ph: (276) 223-5400 | Mrs Lori Watson Baumgardner, RD
165 Peppers Ferry Rd,
Wytheville, VA 24382-2070
Ph: (276) 223-5400 |
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