Mrs Mallory Michelle Grassmuck, MS, RD, LD in Overland Park, KS

Mrs Mallory Michelle Grassmuck, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Overland Park, Kansas. Her current practice location is 5440 W 110th Street, Suite 300, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 279-0226.

Mrs Mallory Michelle Grassmuck is licensed to practice in Missouri (license number 2011034424) 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 1992066351.

Contact Information

	Mrs Mallory Michelle Grassmuck, MS, RD, LD
	5440 W 110th Street, Suite 300, Overland Park, KS 66211
	(913) 279-0226
	(913) 273-5131

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mallory Michelle Grassmuck
Gender	Female
Speciality	Dietitian, Registered
Location	5440 W 110th Street, Overland Park, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992066351
Provider Enumeration Date: 06/01/2012
Last Update Date: 01/06/2025

Medicare PECOS Information:

PECOS PAC ID: 4284889544
Enrollment ID: I20130313000100

Medical Identifiers

Medical identifiers for Mrs Mallory Michelle Grassmuck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992066351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2931 (South Carolina)	Secondary
133V00000X	Dietitian, Registered	1699 (Kansas)	Secondary
133V00000X	Dietitian, Registered	2011034424 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Mallory Michelle Grassmuck allows following entities to bill medicare on her behalf.

Provider Name	Digestive Health Specialists Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801286844 PECOS PAC ID: 9739494832 Enrollment ID: O20150819006984

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 Mallory Michelle Grassmuck 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
Mrs Mallory Michelle Grassmuck, MS, RD, LD 5440 W 110th Street, Suite 300, Overland Park, KS 66211 Ph: (913) 279-0226	Mrs Mallory Michelle Grassmuck, MS, RD, LD 5440 W 110th Street, Suite 300, Overland Park, KS 66211 Ph: (913) 279-0226

Reviews and Comments

Dietitian, Registered in Overland Park, KS

Ms. Mei Ling Karine Wong, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9514 W 164th Ct, Overland Park, KS 66085 Phone: 317-379-1845
Mrs. Judy Ann Springs, RD,LD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Diabetes Center, Overland Park, KS 66213 Phone: 913-317-7796 Fax: 913-317-7078
Mrs. Melody A Cole, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6801 W 91st St, Overland Park, KS 66212 Phone: 913-385-2111 Fax: 913-648-1683
Caitlin Anne Tyler, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9435 Glenwood St Apt 101, Overland Park, KS 66212 Phone: 808-437-1492
Lacee Pinkerton, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10017 Larsen St, Overland Park, KS 66214 Phone: 913-375-4656
Debbra D. Bazata, R.D., L.D. M.A. CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12330 Metcalf Ave, Ste. 500, Overland Park, KS 66213 Phone: 913-317-3170 Fax: 913-317-3192
Mrs. Megan Nicole Grushon, RD, LD, CLT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8900 W 135th St, Overland Park, KS 66221 Phone: 913-685-3500 Fax: 913-685-4975

Mrs Mallory Michelle Grassmuck, MS, RD, LD - Medicare Dietitian in Overland Park, KS