Georgette Ravenhall, RDN, CDN is a
Dietitian, Registered based in Bremen, Maine. Georgette Ravenhall is licensed to practice in * (Not Available) (license number ) and her current practice location is
17 Will Butler Lane, Bremen, Maine. She can be reached at her office (for appointments etc.) via phone at
(631) 219-8929.
NPI number for Georgette Ravenhall is 1366932857 and her current mailing address is 625 Belle Terre Rd Ste 202, Port Jefferson, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366932857.
Healthcare Provider's Profile
| Full Name | Georgette Ravenhall |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 17 Will Butler Lane, Bremen, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366932857
- Provider Enumeration Date: 05/10/2018
- Last Update Date: 02/14/2023
Medical Identifiers
Medical identifiers for Georgette Ravenhall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366932857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DI1773 (Maine) | Secondary |
| 133V00000X | Dietitian, Registered | 86063967 (New York) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Georgette Ravenhall 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 |
|---|
Georgette Ravenhall, RDN, CDN
625 Belle Terre Rd Ste 202,
Port Jefferson, NY 11777-2318
Ph: (631) 686-2513 | Georgette Ravenhall, RDN, CDN
17 Will Butler Lane,
Bremen, ME 04551-0455
Ph: (631) 219-8929 |
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