Mrs Corey Ann-buell Shack, RD in Kalamazoo, MI - Medicare Dietitian, Registered Provider

Mrs Corey Ann-buell Shack, RD is a medicare enrolled "Dietitian, Registered" provider in Kalamazoo, Michigan. Her current practice location is 1717 Shaffer St Ste 124, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 226-4909.

Mrs Corey Ann-buell Shack is licensed to practice in Michigan (license number 1061420) 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 1588904254.

Contact Information

	Mrs Corey Ann-buell Shack, RD
	1717 Shaffer St Ste 124, Kalamazoo, MI 49048-1629
	(269) 226-4909
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Corey Ann-buell Shack
Gender	Female
Speciality	Dietitian, Registered
Location	1717 Shaffer St Ste 124, Kalamazoo, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588904254
Provider Enumeration Date: 02/18/2013
Last Update Date: 01/28/2019

Medicare PECOS Information:

PECOS PAC ID: 5193942902
Enrollment ID: I20140818002323

Medical Identifiers

Medical identifiers for Mrs Corey Ann-buell Shack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588904254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1061420 (Michigan)	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 Corey Ann-buell Shack allows following entities to bill medicare on her behalf.

Provider Name	Ascension Medical Group Promed
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478

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 Corey Ann-buell Shack 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 Corey Ann-buell Shack, RD 1521 Gull Rd, Borgess Medical Center, Kalamazoo, MI 49048-1640 Ph: () -	Mrs Corey Ann-buell Shack, RD 1717 Shaffer St Ste 124, Kalamazoo, MI 49048-1629 Ph: (269) 226-4909

Reviews and Comments

Dietitian, Registered in Kalamazoo, MI

Joanna Gritter, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1717 Shaffer St, Kalamazoo, MI 49048 Phone: 269-226-5290
Ellen Katherine Macalpine, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 353 Lake Ridge Dr, Kalamazoo, MI 49006 Phone: 989-598-0287
Ms. Alexandra Rae Cook, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1717 Shaffer St, Suite 108, Kalamazoo, MI 49048 Phone: 269-226-4909
Elizabeth Vermeulen, RD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 4119 Valley Ridge Dr Apt 7, Kalamazoo, MI 49006 Phone: 269-267-8097
Jason Nicolai, Dietitian Medicare: Medicare Enrolled Practice Location: 1521 Gull Rd, Kalamazoo, MI 49048 Phone: 269-226-5321
Alexandra M Timpson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1717 Shaffer St, Ste 124, Kalamazoo, MI 49048 Phone: 269-226-5290
Sara Jo Flanders, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 186 Belle St, Kalamazoo, MI 49009 Phone: 269-352-4940

Mrs Corey Ann-buell Shack, RD - Medicare Dietitian in Kalamazoo, MI