Kenneth Hans Hermansen, RDN, CDCES in Longview, WA - Medicare Dietitian, Registered Provider

Kenneth Hans Hermansen, RDN, CDCES is a medicare enrolled "Dietitian, Registered" provider in Longview, Washington. His current practice location is 1044 11th Ave, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 575-8275.

Kenneth Hans Hermansen is licensed to practice in Washington (license number DI61408612) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558068791.

Contact Information

	Kenneth Hans Hermansen, RDN, CDCES
	1044 11th Ave, Longview, WA 98632-2506
	(360) 575-8275
	(360) 353-9440

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Hans Hermansen
Gender	Male
Speciality	Dietitian, Registered
Location	1044 11th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558068791
Provider Enumeration Date: 02/08/2023
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5092180984
Enrollment ID: I20230406000789

Medical Identifiers

Medical identifiers for Kenneth Hans Hermansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558068791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	275943 (Kentucky)	Secondary
133V00000X	Dietitian, Registered	DI61408612 (Washington)	Primary
133V00000X	Dietitian, Registered	11870717-4901 (Utah)	Secondary

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. Kenneth Hans Hermansen allows following entities to bill medicare on his behalf.

Provider Name	The Vancouver Clinic Inc Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793

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. Kenneth Hans Hermansen 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
Kenneth Hans Hermansen, RDN, CDCES Po Box 2429, Longview, WA 98632-8486 Ph: (360) 353-9494	Kenneth Hans Hermansen, RDN, CDCES 1044 11th Ave, Longview, WA 98632-2506 Ph: (360) 575-8275

Reviews and Comments

Dietitian, Registered in Longview, WA

Patricia S Goodman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1057 12th Ave, Longview, WA 98632 Phone: 360-423-7740 Fax: 360-423-7894
Robin Hammon, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 783 Commerce Ave, Longview, WA 98632 Phone: 360-577-2630
Kaydee Mae Harris, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 160 Monticello Dr, Longview, WA 98632 Phone: 360-560-9760
Margaret D Norman, BS, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-636-4943 Fax: 360-414-7674
Alicia D Susilla, BS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2200 Fax: 360-414-2210
Emily Greenough, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Erika Jeanne Zeff, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-501-3648

Kenneth Hans Hermansen, RDN, CDCES - Medicare Dietitian in Longview, WA