Ellie Lynn Croaker, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Albertville, Minnesota. Her current practice location is
12161 63rd St Ne, Albertville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 709-3491.
Ellie Lynn Croaker is licensed to practice in Minnesota (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063036820.
Healthcare Provider's Profile
Full Name | Ellie Lynn Croaker |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 12161 63rd St Ne, Albertville, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ellie Lynn Croaker attended and graduated from in
NPI Data:
- NPI Number: 1063036820
- Provider Enumeration Date: 06/07/2020
- Last Update Date: 05/13/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ellie Lynn Croaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063036820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (Minnesota) | 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. Ellie Lynn Croaker 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 |
Ellie Lynn Croaker, RD, LD 6782 Lakeview Cir # A, Corcoran, MN 55340-9798 Ph: (612) 709-3491 | Ellie Lynn Croaker, RD, LD 12161 63rd St Ne, Albertville, MN 55301-4627 Ph: (612) 709-3491 |
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