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.
Healthcare Provider's Profile
Full Name | Mrs Charissa Sue Shadduck |
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Gender | Female |
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Speciality | Registered Dietitian Or Nutrition Professional |
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Experience | 22 Years |
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Location | 3181 Sandhill Rd, Mason, Michigan |
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Accepts Medicare Assignments | Yes. 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.
Identifier | Type | State | Issuer |
1629264973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Mental Health Authority Of Clinton Eaton Ingham Counties | 2668376732 | 44 |
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 Name | Community Mental Health Authority Of Clinton Eaton Ingham Counties |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1265483457 PECOS PAC ID: 2668376732 Enrollment ID: O20031120000868 |
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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 Address | Practice 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 |
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