Mrs Jill Suzanne Clodfelter-mason, RD is a
Dietitian, Registered based in Celina, Ohio. Mrs Jill Suzanne Clodfelter-mason is licensed to practice in Indiana (license number 37002740A) and her current practice location is
2031 Eaglebrooke Pkwy, Celina, Ohio. She can be reached at her office (for appointments etc.) via phone at
(317) 914-3049.
NPI number for Mrs Jill Suzanne Clodfelter-mason is 1093351041 and her current mailing address is 6637 Granny Smith Ln, Avon, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093351041.
Healthcare Provider's Profile
| Full Name | Mrs Jill Suzanne Clodfelter-mason |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 2031 Eaglebrooke Pkwy, Celina, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093351041
- Provider Enumeration Date: 11/25/2019
- Last Update Date: 05/15/2020
Medical Identifiers
Medical identifiers for Mrs Jill Suzanne Clodfelter-mason such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093351041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 37002740A (Indiana) | 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 Suzanne Clodfelter-mason 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 Suzanne Clodfelter-mason, RD
6637 Granny Smith Ln,
Avon, IN 46123-7503
Ph: (317) 914-3049 | Mrs Jill Suzanne Clodfelter-mason, RD
2031 Eaglebrooke Pkwy,
Celina, OH 45822-9396
Ph: (317) 914-3049 |
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