Jill Kristen Kietzke, MSN, BC-ADM is a
Health Educator based in Mount Horeb, Wisconsin. Jill Kristen Kietzke is licensed to practice in * (Not Available) (license number ) and her current practice location is
640 S 1st St, Mount Horeb, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 512-8115.
NPI number for Jill Kristen Kietzke is 1730829508 and her current mailing address is 640 S 1st St, Mount Horeb, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730829508.
Provider's Profile
Full Name | Jill Kristen Kietzke |
---|
Gender | Female |
---|
Speciality | Health Educator |
---|
Location | 640 S 1st St, Mount Horeb, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730829508
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 03/30/2022
Medical Identifiers
Medical identifiers for Jill Kristen Kietzke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730829508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WD0400X | Registered Nurse - Diabetes Educator | 119707-30 (Wisconsin) | Secondary |
174H00000X | Health Educator | (* (Not Available)) | 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. Jill Kristen Kietzke 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 |
Jill Kristen Kietzke, MSN, BC-ADM 640 S 1st St, Mount Horeb, WI 53572-3311 Ph: (608) 512-8115 | Jill Kristen Kietzke, MSN, BC-ADM 640 S 1st St, Mount Horeb, WI 53572-3311 Ph: (608) 512-8115 |
Reviews and Comments