Roberto Carlos Correa, RD is a
Dietitian, Registered based in Noel, Missouri. Roberto Carlos Correa is licensed to practice in Missouri (license number 2021000605) and his current practice location is
1271 Mountain Ridge Rd, Noel, Missouri. He can be reached at his office (for appointments etc.) via phone at
(479) 381-5582.
NPI number for Roberto Carlos Correa is 1679393771 and his current mailing address is 1271 Mountain Ridge Rd, Noel, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679393771.
Healthcare Provider's Profile
| Full Name | Roberto Carlos Correa |
|---|
| Gender | Male |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1271 Mountain Ridge Rd, Noel, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679393771
- Provider Enumeration Date: 10/14/2024
- Last Update Date: 10/14/2024
Medical Identifiers
Medical identifiers for Roberto Carlos Correa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679393771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 2021000605 (Missouri) | 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. Roberto Carlos Correa 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 Address | Practice Location Address |
Roberto Carlos Correa, RD 1271 Mountain Ridge Rd, Noel, MO 64854-7381 Ph: (479) 381-5582 | Roberto Carlos Correa, RD 1271 Mountain Ridge Rd, Noel, MO 64854-7381 Ph: (479) 381-5582 |
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