| Kacey Roach, RD | |
|
2608 Kwina Rd, Bellingham, WA 98226-9291 | |
| (360) 312-2100 | |
| Not Available |
| Full Name | Kacey Roach |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 8 Years |
| Location | 2608 Kwina Rd, Bellingham, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295272573 | NPI | - | NPPES |
| DI60727139 | Other | WA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI60727139 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sensibly Sprouted Llc | 4789019241 | 4 |
| Provider Name | Lummi Indian Business Council |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669592374 PECOS PAC ID: 5395738231 Enrollment ID: O20040406000984 |
| Provider Name | Puget Sound Kidney Centers |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073939062 PECOS PAC ID: 3476501560 Enrollment ID: O20171005001174 |
| Provider Name | Sensibly Sprouted Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700368420 PECOS PAC ID: 4789019241 Enrollment ID: O20200110002443 |
| Mailing Address | Practice Location Address |
|---|---|
| Kacey Roach, RD 2608 Kwina Rd, Bellingham, WA 98226-9291 Ph: (360) 312-2100 | Kacey Roach, RD 2608 Kwina Rd, Bellingham, WA 98226-9291 Ph: (360) 312-2100 |
Julie Dahlen, RD Dietitian Medicare: Medicare Enrolled Practice Location: 311 Potter St, Bellingham, WA 98225 Phone: 360-528-1566 | |
Laura Johnson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 Old Fairhaven Pkwy Ste 303, Bellingham, WA 98225 Phone: 360-739-1278 | |
Sea-mar Community Health Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4455 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-671-3225 Fax: 360-671-0000 | |
Kristy Young, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 220 Unity St, Bellingham, WA 98225 Phone: 360-676-6177 Fax: 360-671-3574 | |
Ms. Megan Adele Haugen, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4465 Cordata Pkwy, Suite B, Bellingham, WA 98226 Phone: 360-752-5601 Fax: 360-752-5667 | |
Marie Tyndall, RD Dietitian Medicare: Medicare Enrolled Practice Location: 4455 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-671-3225 | |
Tanya Gallo, RDN, LDN, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1407 Sweetbay Dr, Bellingham, WA 98229 Phone: 508-212-6506 |