Susan Broeckelman, is a
Dietitian, Registered based in Mankato, Kansas. Susan Broeckelman is licensed to practice in Kansas (license number 829) and her current practice location is
100 Crestvue Ave, Mankato, Kansas. She can be reached at her office (for appointments etc.) via phone at
(785) 378-3137.
NPI number for Susan Broeckelman is 1518148071 and her current mailing address is 100 Crestvue Ave, Mankato, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518148071.
Healthcare Provider's Profile
Full Name | Susan Broeckelman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 100 Crestvue Ave, Mankato, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518148071
- Provider Enumeration Date: 11/26/2007
- Last Update Date: 11/26/2007
Medical Identifiers
Medical identifiers for Susan Broeckelman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518148071 | NPI | - | NPPES |
708146 | Other | | CDR ID NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 829 (Kansas) | 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. Susan Broeckelman 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 |
Susan Broeckelman, 100 Crestvue Ave, Mankato, KS 66956-2407 Ph: (785) 378-3137 | Susan Broeckelman, 100 Crestvue Ave, Mankato, KS 66956-2407 Ph: (785) 378-3137 |
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