Abigail Jean Dean, MS, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Grafton, Wisconsin. Her current practice location is
201 Prairie Run, Grafton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 651-9228.
Abigail Jean Dean is licensed to practice in Wisconsin (license number 86076989) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457028854.
Healthcare Provider's Profile
| Full Name | Abigail Jean Dean |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 201 Prairie Run, Grafton, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457028854
- Provider Enumeration Date: 08/24/2021
- Last Update Date: 01/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567830573
- Enrollment ID: I20221123000974
Medical Identifiers
Medical identifiers for Abigail Jean Dean such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457028854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86076989 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abigail Jean Dean allows following entities to bill medicare on her behalf.
| Provider Name | Kellys Choice Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134741762
PECOS PAC ID: 7517384464
Enrollment ID: O20220912002195 |
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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. Abigail Jean Dean is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Abigail Jean Dean, MS, RD, CD
5579 Whispering Pines Dr,
West Bend, WI 53095-9753
Ph: (715) 651-9228 | Abigail Jean Dean, MS, RD, CD
201 Prairie Run,
Grafton, WI 53024-1174
Ph: (715) 651-9228 |
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