Ms Sue Ann Carnahan, RD is a
Dietitian, Registered based in Fairfield, Illinois. Ms Sue Ann Carnahan is licensed to practice in Illinois (license number ) and her current practice location is
410 Nw 10th St, Fairfield, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 842-5924.
NPI number for Ms Sue Ann Carnahan is 1306055710 and her current mailing address is 410 Nw 10th St, Fairfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306055710.
Healthcare Provider's Profile
Full Name | Ms Sue Ann Carnahan |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 410 Nw 10th St, Fairfield, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306055710
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Sue Ann Carnahan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306055710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (Illinois) | 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 Sue Ann Carnahan 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 Sue Ann Carnahan, RD 410 Nw 10th St, Fairfield, IL 62837-1242 Ph: (618) 842-5924 | Ms Sue Ann Carnahan, RD 410 Nw 10th St, Fairfield, IL 62837-1242 Ph: (618) 842-5924 |
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