Mrs Jill Lynette Griesbaum, MS, RD is a
Dietitian, Registered based in Mount Vernon, Missouri. Mrs Jill Lynette Griesbaum is licensed to practice in Missouri (license number 553528) and her current practice location is
600 N Main St, Mount Vernon, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 466-0187.
NPI number for Mrs Jill Lynette Griesbaum is 1003837162 and her current mailing address is 600 N Main St, Mount Vernon, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003837162.
Healthcare Provider's Profile
Full Name | Mrs Jill Lynette Griesbaum |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 600 N Main St, Mount Vernon, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003837162
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Jill Lynette Griesbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003837162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 553528 (Missouri) | 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 Jill Lynette Griesbaum 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 Jill Lynette Griesbaum, MS, RD 600 N Main St, Mount Vernon, MO 65712-1004 Ph: (417) 466-0187 | Mrs Jill Lynette Griesbaum, MS, RD 600 N Main St, Mount Vernon, MO 65712-1004 Ph: (417) 466-0187 |
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