Jillian Marie Travis, RDH is a
Dental Hygienist based in Shenandoah, Iowa. Jillian Marie Travis is licensed to practice in Iowa (license number 2062) and her current practice location is
1213 W Nishna Rd, Shenandoah, Iowa. She can be reached at her office (for appointments etc.) via phone at
(712) 246-2180.
NPI number for Jillian Marie Travis is 1821392457 and her current mailing address is 1204 W Sheridan Ave, Shenandoah, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821392457.
Healthcare Provider's Profile
| Full Name | Jillian Marie Travis |
|---|
| Gender | Female |
|---|
| Speciality | Dental Hygienist |
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| Location | 1213 W Nishna Rd, Shenandoah, Iowa |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821392457
- Provider Enumeration Date: 12/21/2010
- Last Update Date: 05/20/2019
Medical Identifiers
Medical identifiers for Jillian Marie Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821392457 | NPI | - | NPPES |
| 0062240 | Medicaid | IA | |
| 1306926407 | Other | IA | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 5587 (Iowa) | Secondary |
| 124Q00000X | Dental Hygienist | 2062 (Iowa) | 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. Jillian Marie Travis 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 |
Jillian Marie Travis, RDH 1204 W Sheridan Ave, Shenandoah, IA 51601-1554 Ph: (712) 246-2180 | Jillian Marie Travis, RDH 1213 W Nishna Rd, Shenandoah, IA 51601-2115 Ph: (712) 246-2180 |
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