Jean Ann Mikrut, REGISTERED DIETITIAN is a
Registered Nurse based in Prescott, Arizona. Jean Ann Mikrut is licensed to practice in Arizona (license number 278126) and her current practice location is
Po Box 11385, Prescott, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 458-6025.
NPI number for Jean Ann Mikrut is 1639112907 and her current mailing address is Po Box 11385, Prescott, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639112907.
Healthcare Provider's Profile
| Full Name | Jean Ann Mikrut |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | Po Box 11385, Prescott, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639112907
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Jean Ann Mikrut such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639112907 | NPI | - | NPPES |
| 106736 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 727156 (Arizona) | Secondary |
| 163W00000X | Registered Nurse | 278126 (Arizona) | 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. Jean Ann Mikrut 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 |
Jean Ann Mikrut, REGISTERED DIETITIAN Po Box 11385, Prescott, AZ 86304-1385 Ph: (928) 458-6025 | Jean Ann Mikrut, REGISTERED DIETITIAN Po Box 11385, Prescott, AZ 86304-1385 Ph: (928) 458-6025 |
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