Ally Roberts, RD - Medicare Dietitian in Cumberland, WI

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Ally Roberts, RD is a medicare enrolled "Dietitian, Registered" provider in Cumberland, Wisconsin. Her current practice location is 1110 7th Ave, Cumberland, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 822-7200.

Ally Roberts is licensed to practice in Wisconsin (license number 3510-29) 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 1538832605.

Contact Information

Ally Roberts, RD
1110 7th Ave,
Cumberland, WI 54829-9138
(715) 822-7200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlly Roberts
GenderFemale
SpecialityDietitian, Registered
Location1110 7th Ave, Cumberland, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538832605
  • Provider Enumeration Date: 07/26/2021
  • Last Update Date: 07/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305240441
  • Enrollment ID: I20230105001736

Medical Identifiers

Medical identifiers for Ally Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538832605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 3510-29 (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. Ally Roberts allows following entities to bill medicare on her behalf.
Provider NameSt Lukes Hospital Of Duluth
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902845068
PECOS PAC ID: 7113834839
Enrollment ID: O20031120000212
Provider NameSawtooth Mountain Clinic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306832894
PECOS PAC ID: 8224940010
Enrollment ID: O20041103000490

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. Ally Roberts 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 AddressPractice Location Address
Ally Roberts, RD
1110 7th Ave,
Cumberland, WI 54829-9138

Ph: (715) 822-7200		Ally Roberts, RD
1110 7th Ave,
Cumberland, WI 54829-9138

Ph: (715) 822-7200

Reviews and Comments


Dietitian, Registered in Cumberland, WI

Susan Rouzer,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1110 7th Ave, Cumberland, WI 54829
Phone: 715-822-2741    
Kiersten Haugerud,
Dietitian
Medicare: Medicare Enrolled
Practice Location: 1110 7th Ave, Cumberland, WI 54829
Phone: 715-822-7200    Fax: 715-822-7221
Kelly Jo Johnson, RDN, CD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1705 16th Ave, Cumberland, WI 54829
Phone: 715-822-7500    Fax: 715-822-7501

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.