| Carly Ann Jungles, RD, LD | |
|
525 Main St W, Melrose, MN 56352-1043 | |
| (320) 352-2221 | |
| Not Available |
| Full Name | Carly Ann Jungles |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 525 Main St W, Melrose, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063939734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3442 (Minnesota) | Primary |
| Provider Name | Centracare Health System - Melrose |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
| Provider Name | Centracare Health System - Melrose |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20060504000839 |
| Provider Name | Centracare Health System - Sauk Centre |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578813762 PECOS PAC ID: 4981857216 Enrollment ID: O20130116000380 |
| Provider Name | Centracare Health System - Sauk Centre |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1740553932 PECOS PAC ID: 4981857216 Enrollment ID: O20140523001292 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Ann Jungles, RD, LD 525 Main St W, Melrose, MN 56352-1043 Ph: () - | Carly Ann Jungles, RD, LD 525 Main St W, Melrose, MN 56352-1043 Ph: (320) 352-2221 |
Lori Jolene Klinkhammer, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 Main St W, Melrose, MN 56352 Phone: 320-256-4231 Fax: 320-256-4949 |