Jeanette Christine Roskom, RDN is a
Dietitian, Registered based in Wrightstown, Wisconsin. Jeanette Christine Roskom is licensed to practice in Wisconsin (license number 627629) and her current practice location is
202 Plum Rd Ste A, Wrightstown, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 664-3119.
NPI number for Jeanette Christine Roskom is 1336009885 and her current mailing address is 6317 State Highway 57, De Pere, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336009885.
Healthcare Provider's Profile
| Full Name | Jeanette Christine Roskom |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 202 Plum Rd Ste A, Wrightstown, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336009885
- Provider Enumeration Date: 11/17/2025
- Last Update Date: 11/17/2025
Medical Identifiers
Medical identifiers for Jeanette Christine Roskom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336009885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 627629 (Wisconsin) | 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. Jeanette Christine Roskom 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 |
Jeanette Christine Roskom, RDN 6317 State Highway 57, De Pere, WI 54115-9621 Ph: (920) 664-3119 | Jeanette Christine Roskom, RDN 202 Plum Rd Ste A, Wrightstown, WI 54180-7302 Ph: (920) 664-3119 |
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