Susan K Rotty, RD is a
Dietitian, Registered based in Cottage Grove, Minnesota. Susan K Rotty is licensed to practice in Minnesota (license number 1761) and her current practice location is
8611 W Point Douglas Rd S, Cottage Grove, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 458-1884.
NPI number for Susan K Rotty is 1003878604 and her current mailing address is Po Box 43, Mr 10809, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003878604.
Healthcare Provider's Profile
| Full Name | Susan K Rotty |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 8611 W Point Douglas Rd S, Cottage Grove, Minnesota |
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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: 1003878604
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan K Rotty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003878604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1761 (Minnesota) | 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 K Rotty 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 K Rotty, RD
Po Box 43, Mr 10809,
Minneapolis, MN 55440-0043
Ph: (612) 262-4813 | Susan K Rotty, RD
8611 W Point Douglas Rd S,
Cottage Grove, MN 55016-4005
Ph: (651) 458-1884 |
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