Ms Kristine Benusa, RD is a
Dietitian, Registered based in Whitehall, Wisconsin. Ms Kristine Benusa is licensed to practice in Wisconsin (license number 809073) and her current practice location is
18601 Lincoln St, Whitehall, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 538-4361.
NPI number for Ms Kristine Benusa is 1487973681 and her current mailing address is 18601 Lincoln St, Whitehall, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487973681.
Healthcare Provider's Profile
| Full Name | Ms Kristine Benusa |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 18601 Lincoln St, Whitehall, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487973681
- Provider Enumeration Date: 05/27/2010
- Last Update Date: 06/16/2018
Medical Identifiers
Medical identifiers for Ms Kristine Benusa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487973681 | NPI | - | NPPES |
| 0001 | Other | WI | WPS/MEDICARE PART B |
| P47127 | Other | WI | UPIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 809073 (Wisconsin) | 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. Ms Kristine Benusa 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 |
|---|
Ms Kristine Benusa, RD
18601 Lincoln St,
Whitehall, WI 54773-8605
Ph: (715) 538-4361 | Ms Kristine Benusa, RD
18601 Lincoln St,
Whitehall, WI 54773-8605
Ph: (715) 538-4361 |
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