Mrs Charissa Sue Shadduck, MS RD - Medicare Dietitian in Mason, MI

Mrs Charissa Sue Shadduck, MS RD is a medicare enrolled "Dietitian, Registered" provider in Mason, Michigan. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Community Mental Health Authority Of Clinton Eaton Ingham Counties and her current practice location is 3181 Sandhill Rd, Mason, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 336-6060.

Mrs Charissa Sue Shadduck is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629264973.

Contact Information

Mrs Charissa Sue Shadduck, MS RD
3181 Sandhill Rd,
Mason, MI 48854
(517) 336-6060
(517) 336-6050

Map and Direction




Healthcare Provider's Profile

Full NameMrs Charissa Sue Shadduck
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience22 Years
Location3181 Sandhill Rd, Mason, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Charissa Sue Shadduck graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1629264973
  • Provider Enumeration Date: 09/20/2007
  • Last Update Date: 12/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1254229768
  • Enrollment ID: I20040308000170

Medical Identifiers

Medical identifiers for Mrs Charissa Sue Shadduck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629264973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Mental Health Authority Of Clinton Eaton Ingham Counties266837673244

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 Charissa Sue Shadduck allows following entities to bill medicare on her behalf.
Provider NameCommunity Mental Health Authority Of Clinton Eaton Ingham Counties
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265483457
PECOS PAC ID: 2668376732
Enrollment ID: O20031120000868

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 Charissa Sue Shadduck 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 AddressPractice Location Address
Mrs Charissa Sue Shadduck, MS RD
3181 Sandhill Rd,
Mason, MI 48854

Ph: (517) 336-6060
Mrs Charissa Sue Shadduck, MS RD
3181 Sandhill Rd,
Mason, MI 48854

Ph: (517) 336-6060

Reviews and Comments


Dietitian, Registered in Mason, MI

Danielle Bauer, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 776 E Columbia St, Mason, MI 48854
Phone: 517-883-5028    Fax: 517-883-5028
Amy J Hanover, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1100 S Cedar St, Mason, MI 48854
Phone: 517-484-3000    Fax: 517-484-6358
Carrie Crandall, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 496 Riverwalk Dr, Mason, MI 48854
Phone: 517-449-6049    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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