Mrs Susan Thomas Jastrow, RD, LD, CDE is a
Dietitian, Registered based in Round Mountain, Texas. Mrs Susan Thomas Jastrow is licensed to practice in Texas (license number DT04706) and her current practice location is
1242 Pt Ranch Rd, Round Mountain, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 466-4407.
NPI number for Mrs Susan Thomas Jastrow is 1215161104 and her current mailing address is 1242 Pt Ranch Road, Round Mountain, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215161104.
Healthcare Provider's Profile
Full Name | Mrs Susan Thomas Jastrow |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1242 Pt Ranch Rd, Round Mountain, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215161104
- Provider Enumeration Date: 05/07/2009
- Last Update Date: 04/25/2013
Medical Identifiers
Medical identifiers for Mrs Susan Thomas Jastrow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215161104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DT04706 (Texas) | 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 Susan Thomas Jastrow 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 Susan Thomas Jastrow, RD, LD, CDE 1242 Pt Ranch Road, Round Mountain, TX 78663-5990 Ph: (512) 466-4407 | Mrs Susan Thomas Jastrow, RD, LD, CDE 1242 Pt Ranch Rd, Round Mountain, TX 78663-5990 Ph: (512) 466-4407 |
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