| Jill M Roup, RD,CSO,CD | |
|
1580 Commanche Ave, Green Bay, WI 54313-5751 | |
| (920) 435-8326 | |
| (920) 430-4659 |
| Full Name | Jill M Roup |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1580 Commanche Ave, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336124791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1567 (Wisconsin) | Primary |
| Provider Name | Bellin Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Provider Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill M Roup, RD,CSO,CD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7226 | Jill M Roup, RD,CSO,CD 1580 Commanche Ave, Green Bay, WI 54313-5751 Ph: (920) 435-8326 |
Brooke Winch, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 704 S Webster Ave Ste 501, Green Bay, WI 54301 Phone: 920-433-6050 | |
Bonnie Marie Cleven, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1207 Grignon St, Green Bay, WI 54301 Phone: 920-857-9093 | |
Anne Marie Vollrath, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 | |
Connie Bloedel, CERTIFIED DIETICIAN Dietitian Medicare: Medicare Enrolled Practice Location: 1727 Shawano Ave, Green Bay, WI 54303 Phone: 920-272-1010 | |
Amber M Langill, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 | |
Lee A Hyrkas, RD,CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 Fax: 920-430-4747 | |
Kelsey Stoeger, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2740 |