Kacey Roach, RD is a medicare enrolled "Dietitian, Registered" provider in Anacortes, Washington. She went to Adio/pennsylvania Institute Of Straight Chiropractic and graduated in 2016 and has 8 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Sensibly Sprouted Llc and her current practice location is
809 31st St, Anacortes, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 755-3586.
Kacey Roach is licensed to practice in Washington (license number DI60727139) 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 1295272573.
Healthcare Provider's Profile
Full Name | Kacey Roach |
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Gender | Female |
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Speciality | Registered Dietitian Or Nutrition Professional |
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Experience | 8 Years |
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Location | 809 31st St, Anacortes, Washington |
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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:
- Kacey Roach attended and graduated from Adio/pennsylvania Institute Of Straight Chiropractic in 2016
NPI Data:
- NPI Number: 1295272573
- Provider Enumeration Date: 01/25/2017
- Last Update Date: 04/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 5092125898
- Enrollment ID: I20201106000319
Medical Identifiers
Medical identifiers for Kacey Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295272573 | NPI | - | NPPES |
DI60727139 | Other | WA | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DI60727139 (Washington) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sensibly Sprouted Llc | 4789019241 | 4 |
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. Kacey Roach allows following entities to bill medicare on her behalf.
Provider Name | Puget Sound Kidney Centers |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1073939062 PECOS PAC ID: 3476501560 Enrollment ID: O20171005001174 |
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Provider Name | Sensibly Sprouted Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1700368420 PECOS PAC ID: 4789019241 Enrollment ID: O20200110002443 |
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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. Kacey Roach 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 |
Kacey Roach, RD 1019 Pacific Ave, Everett, WA 98201-4148 Ph: (425) 259-5195 | Kacey Roach, RD 809 31st St, Anacortes, WA 98221-3401 Ph: (360) 755-3586 |
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