Jaclyn S Revello (NPI# 1053760553, PAC ID# 7113217647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1053760553 |
| PAC ID by PECOS | 7113217647 |
| Professional Enrollment ID | I20160613000141 |
| Full Name | Jaclyn S Revello |
| Organization Legal Name | DEAN HEALTH SYSTEMS INC |
| Address |
700 S Park St Suite A Madison WI 53715-1830 |
| Phone Number | 6082602900 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 7012827983 |
| Number of Group Practice Members | 907 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 700 S Park St, Suite A, Madison, WI 53715-1830 | 6082602900 | DEAN HEALTH SYSTEMS INC |
| Organization Legal Name | DEAN HEALTH SYSTEMS INC |
| Physicians | 914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clare Tillman Kuehl | Nurse Practitioner | Dean Health Systems Inc | 225 Church St, Stoughton, WI 53589-1801 |
| Violet Margaret Laukant | Nurse Practitioner | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Paulina A Hall | Physician Assistant | Dean Health Systems Inc | 833 S Iowa St, Suite 102, Dodgeville, WI 53533-1900 |
| Kortney L Krueger | Physician Assistant | Dean Health Systems Inc | 103 Lake St, Deerfield, WI 53531-9455 |
| Kristine L Johnson | Family Medicine | Dean Health Systems Inc | 1700 Tuttle St, Suite 3, Baraboo, WI 53913-3319 |
| James E Christensen | Sports Medicine | Dean Health Systems Inc | 2501 W Beltline Hwy, Suite 601, Madison, WI 53713-2308 |
| Sara J Holland | Physician Assistant | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Jamie L Blavat | Optometry | Dean Health Systems Inc | 1025 S 2nd St, Delavan, WI 53115-3272 |
| Maria Z Din | Family Medicine | Dean Health Systems Inc | 752 N High Point Rd, Madison, WI 53717-2236 |
| Lori J Spencer | Nurse Practitioner | Dean Health Systems Inc | 1310 Broadway, Wisconsin Dells, WI 53965-1358 |
| Street Address |
700 S PARK ST SUITE A |
| City | MADISON |
| State | WI |
| Zip | 53715-1830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen H Vander Sluis | Anesthesiology | Dean Health Systems Inc | 700 S Park St, Suite A, Madison, WI 53715-1830 |
| Eric G Teggatz | Anesthesiology | Dean Health Systems Inc | 700 S Park St, Madison, WI 53715-1830 |
| Joseph Hansen | Emergency Medicine | Madison Emergency Physicians Sc | 700 S Park St, Madison, WI 53715-1893 |
| Albert J Deibele Iii | Interventional Cardiology | Dean Health Systems Inc | 700 S Park St, Madison, WI 53715-1830 |
| Barry P Cash | Family Medicine | Dean Health Systems Inc | 700 S Park St, Madison, WI 53715-1830 |
| Jennifer J Schildt | Certified Registered Nurse Anesthetist (crna) | Dean Health Systems Inc | 700 S Park St, Suite A, Madison, WI 53715-1830 |
| Garry B Shulman | Anesthesiology | Dean Health Systems Inc | 700 S Park St, Suite A, Madison, WI 53715-1830 |
| Jon D Van Roo | Emergency Medicine | Madison Emergency Physicians Sc | 700 S Park St, Madison, WI 53715-1893 |
| Christopher W Wedding | Diagnostic Radiology | Madison Radiologists, Sc | 700 S Park St, Madison, WI 53715-1830 |
| Jose Andres Moreno Lopez | General Surgery | Dean Health Systems Inc | 700 S Park St, Madison, WI 53715-1830 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amol D Kulkarni | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| John Vukich | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Mitchell D. Wolf | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Joan M Mcgrath | Anesthesiology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Christopher M Pruet | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Richard J Grundman | Certified Registered Nurse Anesthetist (crna) | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| James Bell | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Nathaniel C Harkins | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Joseph Isik | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Rachel K Glanville | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Find all physicians in zip 53715 | |||
| City | MADISON |
| Zip Code | 53715 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | MADISON + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Jaclyn S Revello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.