| Mrs Cheryl G Lummis, APRN,CDE | |
|
340 Kelley Pkwy, Mexico, MO 65265-3811 | |
| (573) 582-1234 | |
| (573) 582-1212 |
| Full Name | Mrs Cheryl G Lummis |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 17 Years |
| Location | 340 Kelley Pkwy, Mexico, Missouri |
| 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 |
|---|---|---|---|
| 1962438762 | NPI | - | NPPES |
| 2041-0485 | Other | MO | CERTIFIED DIABETES EDUCA |
| 2012005566 | Other | MO | CLINICAL NURSE SPECIALIST |
| 143916 | Other | MO | NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 2012005566 (Missouri) | Primary |
| 163WD0400X | Registered Nurse - Diabetes Educator | 143916 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Central Missouri Behavioral Health Services Inc | 5395659403 | 8 |
| Entity Name | East Central Missouri Behavioral Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cheryl G Lummis, APRN,CDE 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 | Mrs Cheryl G Lummis, APRN,CDE 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 |
Veneta J Raboin, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 |