Shelli Willman, RDN, LD in Roseburg, OR - Medicare Registered Dietitian Or Nutrition Professional Provider

Shelli Willman, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Roseburg, Oregon. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Cow Creek Band Of Umpqua Tribe Of Indians and her current practice location is 865 Se Court Ave Ste 4, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 900-6989.

Shelli Willman is licensed to practice in Oregon (license number LD-D-10195206) 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 1467985515.

Contact Information

	Shelli Willman, RDN, LD
	865 Se Court Ave Ste 4, Roseburg, OR 97470-3372
	(541) 900-6989
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelli Willman
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	13 Years
Location	865 Se Court Ave Ste 4, Roseburg, Oregon
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:

Shelli Willman graduated from medical school in 2012

NPI Data:

NPI Number: 1467985515
Provider Enumeration Date: 04/05/2017
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1153716584
Enrollment ID: I20220321001961

Medical Identifiers

Medical identifiers for Shelli Willman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467985515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD-D-10195206 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cow Creek Band Of Umpqua Tribe Of Indians	8921099474	12

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. Shelli Willman allows following entities to bill medicare on her behalf.

Provider Name	Cow Creek Band Of Umpqua Tribe Of Indians
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063502714 PECOS PAC ID: 8921099474 Enrollment ID: O20071218000285

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. Shelli Willman 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
Shelli Willman, RDN, LD 4410 Ridenour St, Roseburg, OR 97470-1004 Ph: (541) 900-6989	Shelli Willman, RDN, LD 865 Se Court Ave Ste 4, Roseburg, OR 97470-3372 Ph: (541) 900-6989

Reviews and Comments

Dietitian, Registered in Roseburg, OR

Ms. Virginia Ruth Terry, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave, Ste 427, Roseburg, OR 97471 Phone: 541-784-5966
Mrs. Allison F Gottfried, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-672-2267 Fax: 541-672-9483
Joseph Albrecht, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-441-1000
Carol Mae Embertson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2459 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-2102 Fax: 541-677-4848
Mrs. Dana Ellen Cox, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Nutrition & Food Services, Roseburg, OR 97471 Phone: 541-440-1000
Jocarol S. Driver, Dietitian Medicare: Medicare Enrolled Practice Location: 2459 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-2102 Fax: 541-677-4848
Jill Marie Boyce, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2371 Ne Stephens St, Suite 200, Roseburg, OR 97470 Phone: 541-677-5584 Fax: 541-492-5217

Shelli Willman, RDN, LD - Medicare Dietitian in Roseburg, OR