| Sarah Gehring Provence, MS, RD, LDN, CDCES | |
|
2150 Dickens Place Dr, Southaven, MS 38672-7152 | |
| (901) 387-7314 | |
| Not Available |
| Full Name | Sarah Gehring Provence |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 12 Years |
| Location | 2150 Dickens Place Dr, Southaven, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003476417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D1643 (Mississippi) | Primary |
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 2733 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nourish, Inc. | 1557724937 | 251 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Gehring Provence, MS, RD, LDN, CDCES 2150 Dickens Place Dr, Southaven, MS 38672-7152 Ph: (901) 387-7314 | Sarah Gehring Provence, MS, RD, LDN, CDCES 2150 Dickens Place Dr, Southaven, MS 38672-7152 Ph: (901) 387-7314 |
Mrs. Jennifer E Moore, MS, RDN, LDN, CSR Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3870 Liscott Rd, Southaven, MS 38672 Phone: 702-533-2259 | |
Mr. John Michael Dudley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6856 Cobblestone Blvd, Southaven, MS 38672 Phone: 888-416-0008 | |
Mrs. Shirley T Davis, RDN LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6856 Cobblestone Blvd, Southaven, MS 38672 Phone: 888-416-0008 Fax: 888-416-0009 | |
Mrs. Emily Kesler Schwartz, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-3185 Fax: 662-772-3197 | |
Jamarcus B Frazier, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8416 Inverness Dr, Southaven, MS 38672 Phone: 901-210-1523 | |
Miss Alissa M Villarrubia, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-3188 |