Mrs Susan Renee Samuels, MS, RD, LD is a
Dietitian, Registered based in Jasper, Arkansas. Mrs Susan Renee Samuels is licensed to practice in Arkansas (license number 1118) and her current practice location is
Po Box 591, Jasper, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 219-1890.
NPI number for Mrs Susan Renee Samuels is 1063753739 and her current mailing address is Po Box 591, Jasper, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063753739.
Healthcare Provider's Profile
| Full Name | Mrs Susan Renee Samuels |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | Po Box 591, Jasper, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063753739
- Provider Enumeration Date: 03/06/2013
- Last Update Date: 05/11/2026
Medical Identifiers
Medical identifiers for Mrs Susan Renee Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063753739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 1118 (Arkansas) | 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. Mrs Susan Renee Samuels 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 |
Mrs Susan Renee Samuels, MS, RD, LD Po Box 591, Jasper, AR 72641-0591 Ph: (870) 219-1890 | Mrs Susan Renee Samuels, MS, RD, LD Po Box 591, Jasper, AR 72641-0591 Ph: (870) 219-1890 |
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