Shannon Roque, RDN in Morristown, NJ - Medicare Registered Dietitian Or Nutrition Professional Provider

Shannon Roque, RDN is a medicare enrolled "Dietitian, Registered" provider in Morristown, New Jersey. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Practice Associates Medical Group and her current practice location is 435 South St, Morristown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 971-7166.

Shannon Roque is licensed to practice in New Jersey (license number 960240) 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 1790972313.

Contact Information

	Shannon Roque, RDN
	435 South St, Morristown, NJ 07960-6422
	(973) 971-7166
	(973) 290-7518

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Roque
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	19 Years
Location	435 South St, Morristown, New Jersey
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:

Shannon Roque graduated from medical school in 2005

NPI Data:

NPI Number: 1790972313
Provider Enumeration Date: 09/27/2007
Last Update Date: 05/10/2018

Medicare PECOS Information:

PECOS PAC ID: 7618225830
Enrollment ID: I20180806000000

Medical Identifiers

Medical identifiers for Shannon Roque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790972313	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	960240 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Practice Associates Medical Group	5890703177	1174

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. Shannon Roque allows following entities to bill medicare on her behalf.

Provider Name	Practice Associates Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690

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. Shannon Roque 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
Shannon Roque, RDN Po Box 416457, Boston, MA 02241-7983 Ph: (844) 362-1735	Shannon Roque, RDN 435 South St, Morristown, NJ 07960-6422 Ph: (973) 971-7166

Reviews and Comments

Dietitian, Registered in Morristown, NJ

Kelly Varzea, RD Dietitian Medicare: Medicare Enrolled Practice Location: 55 Madison Ave Fl 2, Morristown, NJ 07960 Phone: 973-971-5676 Fax: 973-290-7365
Megan Phelan, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27 James St, Morristown, NJ 07960 Phone: 908-472-9418
Edwina L Rich, Dietitian Medicare: Medicare Enrolled Practice Location: 10 E Lake Blvd, Morristown, NJ 07960 Phone: 201-247-8280
Ms. Diane Z. Duelfer, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Madison Ave # 82, Morristown, NJ 07960 Phone: 973-971-4026 Fax: 973-290-7365
Maria Rose Carter, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 435 South St, Morristown, NJ 07960 Phone: 570-814-7447
Mrs. Susan Tani Anthony, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6 Mount Pleasant Rd, Morristown, NJ 07960 Phone: 973-359-8581 Fax: 973-359-8581
Carley Jane Horan, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 125 South St, Morristown, NJ 07960 Phone: 973-464-2864

Shannon Roque, RDN - Medicare Dietitian in Morristown, NJ