Shana Louise Roth, RD in Hancock, MI - Medicare Dietitian, Registered Provider

Shana Louise Roth, RD is a medicare enrolled "Dietitian, Registered" provider in Hancock, Michigan. Her current practice location is 500 Campus Dr, Hancock, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 483-1148.

Shana Louise Roth is licensed to practice in Michigan (license number 930350) 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 1548805005.

Contact Information

	Shana Louise Roth, RD
	500 Campus Dr, Hancock, MI 49930-1452
	(906) 483-1148
	(906) 483-1670

Map and Direction

Healthcare Provider's Profile

Full Name	Shana Louise Roth
Gender	Female
Speciality	Dietitian, Registered
Location	500 Campus Dr, Hancock, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548805005
Provider Enumeration Date: 11/08/2019
Last Update Date: 10/02/2021

Medicare PECOS Information:

PECOS PAC ID: 1759789845
Enrollment ID: I20211004001752

Medical Identifiers

Medical identifiers for Shana Louise Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548805005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	930350 (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. Shana Louise Roth allows following entities to bill medicare on her behalf.

Provider Name	Portage Hospital Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087

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. Shana Louise Roth 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
Shana Louise Roth, RD 500 Campus Dr, Hancock, MI 49930-1452 Ph: (906) 483-1253	Shana Louise Roth, RD 500 Campus Dr, Hancock, MI 49930-1452 Ph: (906) 483-1148

Reviews and Comments

Dietitian, Registered in Hancock, MI

Portage Hospital Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1128 Fax: 906-483-1122
Marielle Calcaterra, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1670
Portage Physician Practices Inc Dietitian Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Ste. 5, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-483-1270
Ms. Tara Lynn Lassila, P.A. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1147
Carol A Grafford, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Diabetes Education, Hancock, MI 49930 Phone: 906-483-1562 Fax: 906-483-1149
Western U.p. District Health Department & Superior Home Nursing & Hosp Dietitian Medicare: Not Enrolled in Medicare Practice Location: 540 Depot St, Hancock, MI 49930 Phone: 906-482-7382 Fax: 906-482-9410

Shana Louise Roth, RD - Medicare Dietitian in Hancock, MI