Susan R Willyard, DIETITIAN is a
Dietitian, Registered based in Mayville, North Dakota. Susan R Willyard is licensed to practice in North Dakota (license number 182) and her current practice location is
42 6th Ave Se, Union Hospital, Mayville, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 788-3800.
NPI number for Susan R Willyard is 1003996786 and her current mailing address is 42 6th Ave Se, Union Hospital, Mayville, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003996786.
Healthcare Provider's Profile
| Full Name | Susan R Willyard |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 42 6th Ave Se, Mayville, North Dakota |
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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: 1003996786
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan R Willyard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003996786 | NPI | - | NPPES |
| 14397 | Other | | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 182 (North Dakota) | 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 R Willyard 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 R Willyard, DIETITIAN
42 6th Ave Se, Union Hospital,
Mayville, ND 58257
Ph: (701) 788-3800 | Susan R Willyard, DIETITIAN
42 6th Ave Se, Union Hospital,
Mayville, ND 58257
Ph: (701) 788-3800 |
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