Mrs Ann Blackwell, CEDRD, RD, LD is a
Dietitian, Registered based in Raleigh, Mississippi. Mrs Ann Blackwell is licensed to practice in Mississippi (license number D0705) and her current practice location is
226 Whiteoak Ave, Raleigh, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 782-9919.
NPI number for Mrs Ann Blackwell is 1639414923 and her current mailing address is 226 Whiteoak Ave, Raleigh, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639414923.
Healthcare Provider's Profile
Full Name | Mrs Ann Blackwell |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 226 Whiteoak Ave, Raleigh, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639414923
- Provider Enumeration Date: 11/28/2012
- Last Update Date: 11/28/2012
Medical Identifiers
Medical identifiers for Mrs Ann Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639414923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D0705 (Mississippi) | 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. Mrs Ann Blackwell 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 |
Mrs Ann Blackwell, CEDRD, RD, LD 226 Whiteoak Ave, Raleigh, MS 39153-6082 Ph: (601) 782-9919 | Mrs Ann Blackwell, CEDRD, RD, LD 226 Whiteoak Ave, Raleigh, MS 39153-6082 Ph: (601) 782-9919 |
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