Jeanette Rae Ely, RDN is a
Dietitian, Registered based in Petersburg, Alaska. Jeanette Rae Ely is licensed to practice in Alaska (license number 1003875) and her current practice location is
103 Fram Street, # 589, Petersburg, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 772-5730.
NPI number for Jeanette Rae Ely is 1952049157 and her current mailing address is Po Box 1462, Petersburg, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952049157.
Healthcare Provider's Profile
Full Name | Jeanette Rae Ely |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 103 Fram Street, Petersburg, Alaska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952049157
- Provider Enumeration Date: 05/26/2022
- Last Update Date: 05/26/2022
Medical Identifiers
Medical identifiers for Jeanette Rae Ely such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952049157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1003875 (Alaska) | 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 Rae Ely 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 Rae Ely, RDN Po Box 1462, Petersburg, AK 99833-1462 Ph: (360) 510-2600 | Jeanette Rae Ely, RDN 103 Fram Street, # 589, Petersburg, AK 99833 Ph: (907) 772-5730 |
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