Miss Jacqueline Elizabeth Shanks, RD - Dietitian in Memphis, TN

Miss Jacqueline Elizabeth Shanks, RD is a Dietitian, Registered based in Memphis, Tennessee. Miss Jacqueline Elizabeth Shanks is licensed to practice in Tennessee (license number 1701) and her current practice location is 1030 Jefferson Ave, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at (901) 523-8990.

NPI number for Miss Jacqueline Elizabeth Shanks is 1134138977 and her current mailing address is 2552 Niblik Pass Apt 202, Cordova, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134138977.

Contact Information

Miss Jacqueline Elizabeth Shanks, RD
1030 Jefferson Ave,
Memphis, TN 38104-2127
(901) 523-8990
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMiss Jacqueline Elizabeth Shanks
GenderFemale
SpecialityDietitian, Registered
Location1030 Jefferson Ave, Memphis, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134138977
  • Provider Enumeration Date: 08/07/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Miss Jacqueline Elizabeth Shanks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134138977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1701 (Tennessee)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. Miss Jacqueline Elizabeth Shanks 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 AddressPractice Location Address
Miss Jacqueline Elizabeth Shanks, RD
2552 Niblik Pass Apt 202,
Cordova, TN 38016-4116

Ph: (901) 523-8990
Miss Jacqueline Elizabeth Shanks, RD
1030 Jefferson Ave,
Memphis, TN 38104-2127

Ph: (901) 523-8990

Reviews and Comments


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Phone: 901-287-6140    Fax: 901-287-5123
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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