Kelly Shaughnessy, RD BS in Encinitas, CA - Medicare Dietitian, Registered Provider

Kelly Shaughnessy, RD BS is a medicare enrolled "Dietitian, Registered" provider in Encinitas, California. Her current practice location is 749 Teaberry St, Encinitas, California. You can reach out to her office (for appointments etc.) via phone at (661) 993-8710.

Kelly Shaughnessy is licensed to practice in California (license number 1073135) 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 1528604113.

Contact Information

	Kelly Shaughnessy, RD BS
	749 Teaberry St, Encinitas, CA 92024-3353
	(661) 993-8710
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Shaughnessy
Gender	Female
Speciality	Dietitian, Registered
Location	749 Teaberry St, Encinitas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528604113
Provider Enumeration Date: 11/19/2019
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6204218027
Enrollment ID: I20220726003449

Medical Identifiers

Medical identifiers for Kelly Shaughnessy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528604113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1073135 (California)	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. Kelly Shaughnessy allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Kelly Shaughnessy 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
Kelly Shaughnessy, RD BS 3724 Jefferson St Ste 104, Austin, TX 78731-6204 Ph: (512) 693-7045	Kelly Shaughnessy, RD BS 749 Teaberry St, Encinitas, CA 92024-3353 Ph: (661) 993-8710

Reviews and Comments

Dietitian, Registered in Encinitas, CA

Ruth Heidmann, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 948 Springwood Ln, Encinitas, CA 92024 Phone: 760-402-0935
Miss Jennifer Elizabeth Mayer, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1553 Plumtree Dr, Encinitas, CA 92024 Phone: 760-803-6439
Christian Torres, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 914 N Coast Highway 101, Encinitas, CA 92024 Phone: 818-624-1249
Allison Richter, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 548 Ocean View Ave, Encinitas, CA 92024 Phone: 833-473-5474 Fax: 619-786-2212
Carrie S Phillips, Family Therapist, Inc Dietitian Medicare: Medicare Enrolled Practice Location: 169 Saxony Rd Ste 203, Encinitas, CA 92024 Phone: 760-230-9050 Fax: 760-239-9700
Katie Dawn Steadman, Dietitian Medicare: Medicare Enrolled Practice Location: 662 Encinitas Blvd Ste 204, Encinitas, CA 92024 Phone: 833-446-6969
Jean Muller, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 332 Santa Fe Dr, Encinitas, CA 92024 Phone: 760-632-2323

Kelly Shaughnessy, RD BS - Medicare Dietitian in Encinitas, CA