| Tad Jacob Taggart, RD, CD | |
|
1710 Lawrence Dr Ste 200, De Pere, WI 54115-9195 | |
| (920) 570-6339 | |
| Not Available |
| Full Name | Tad Jacob Taggart |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 1710 Lawrence Dr Ste 200, De Pere, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508535006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Wisconsin) | Primary |
| Provider Name | Bellin Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Tad Jacob Taggart, RD, CD 1657 Lenwood Ave Apt 7, Green Bay, WI 54303-5397 Ph: (920) 246-4886 | Tad Jacob Taggart, RD, CD 1710 Lawrence Dr Ste 200, De Pere, WI 54115-9195 Ph: (920) 570-6339 |
Rosalyn H Haase, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |
Debbie Guenterberg, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |
Callie Anne Lebrun, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1710 Lawrence Dr Ste 200, De Pere, WI 54115 Phone: 920-570-6339 |
Becky Schmechel, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 555 Redbird Cir Ste 300, De Pere, WI 54115 Phone: 920-338-6830 |
Heather Grace, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |
Mrs. Amber Marie Bassindale, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1747 County Clare Rd, De Pere, WI 54115 Phone: 920-737-7624 |