Annie Mapanao Cichocki, REGISTERED DIETIAN is a
Dietitian, Registered based in Peterson Air Force Base, Colorado. Annie Mapanao Cichocki is licensed to practice in Tennessee (license number LDN0000000675) and her current practice location is
559 Vincent St, Peterson Air Force Base, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 556-1060.
NPI number for Annie Mapanao Cichocki is 1679545818 and her current mailing address is 559 Vincent St, 21st Medical Group Sghq, Peterson Afb, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679545818.
Healthcare Provider's Profile
Full Name | Annie Mapanao Cichocki |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 559 Vincent St, Peterson Air Force Base, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679545818
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Annie Mapanao Cichocki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679545818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LDN0000000675 (Tennessee) | 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. Annie Mapanao Cichocki 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 |
Annie Mapanao Cichocki, REGISTERED DIETIAN 559 Vincent St, 21st Medical Group Sghq, Peterson Afb, CO 80914-1540 Ph: (719) 556-1060 | Annie Mapanao Cichocki, REGISTERED DIETIAN 559 Vincent St, Peterson Air Force Base, CO 80914-1540 Ph: (719) 556-1060 |
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