Jerilyn R Abba, is a
Dietitian, Registered based in Ripon, Wisconsin. Jerilyn R Abba is licensed to practice in Wisconsin (license number 1004-029) and her current practice location is
933 Newbury St, Ripon, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 748-9495.
NPI number for Jerilyn R Abba is 1487725172 and her current mailing address is 933 Newbury St, Ripon, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487725172.
Healthcare Provider's Profile
Full Name | Jerilyn R Abba |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 933 Newbury St, Ripon, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487725172
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jerilyn R Abba such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487725172 | NPI | - | NPPES |
1004-029 | Other | WI | STATE CERTIFICATION NUMBE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1004-029 (Wisconsin) | 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. Jerilyn R Abba 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 |
Jerilyn R Abba, 933 Newbury St, Ripon, WI 54971-1730 Ph: (920) 748-9495 | Jerilyn R Abba, 933 Newbury St, Ripon, WI 54971-1730 Ph: (920) 748-9495 |
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