Casey Mast Wallner, RD, LD in Newport, OR - Medicare Dietitian, Registered Provider

Casey Mast Wallner, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Newport, Oregon. Her current practice location is 5280 Ne Shell World Pl, Newport, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 579-1823.

Casey Mast Wallner is licensed to practice in Oregon (license number LDD10158382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104246024.

Contact Information

	Casey Mast Wallner, RD, LD
	5280 Ne Shell World Pl, Newport, OR 97365-1246
	(541) 579-1823
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Casey Mast Wallner
Gender	Female
Speciality	Dietitian, Registered
Location	5280 Ne Shell World Pl, Newport, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104246024
Provider Enumeration Date: 04/17/2014
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 2769606300
Enrollment ID: I20140620001956

Medical Identifiers

Medical identifiers for Casey Mast Wallner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104246024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LDD10158382 (Oregon)	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. Casey Mast Wallner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Casey Mast Wallner, RD, LD 5280 Ne Shell World Pl, Newport, OR 97365-1246 Ph: (541) 579-1823	Casey Mast Wallner, RD, LD 5280 Ne Shell World Pl, Newport, OR 97365-1246 Ph: (541) 579-1823

Reviews and Comments

Dietitian, Registered in Newport, OR

Ms. Darcy De La Rosa, R.D., CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 537 Se Vista Dr, Newport, OR 97365 Phone: 541-270-5237 Fax: 541-574-7986
Lauren Morrison Burns, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-574-3598
Alesha Orton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36 Sw Nye St, Newport, OR 97365 Phone: 541-265-0402 Fax: 541-265-4194
Amanda Claxton, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36 Sw Nye St, Newport, OR 97365 Phone: 217-653-7194
Your Friendly Dietitian, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5280 Ne Shell World Pl, Newport, OR 97365 Phone: 541-579-1823 Fax: 541-833-5005

Casey Mast Wallner, RD, LD - Medicare Dietitian in Newport, OR