Mallory H Baerenwald, MS,RD,CD in Green Bay, WI - Medicare Registered Dietitian Or Nutrition Professional Provider

Mallory H Baerenwald, MS,RD,CD is a medicare enrolled "Dietitian, Registered" provider in Green Bay, Wisconsin. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Bellin Memorial Hospital Inc and her current practice location is 3263 Eaton Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 433-6700.

Mallory H Baerenwald is licensed to practice in Wisconsin (license number 3465-29) 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 1548804370.

Contact Information

	Mallory H Baerenwald, MS,RD,CD
	3263 Eaton Rd, Green Bay, WI 54311-6830
	(920) 433-6700
	(920) 433-6719

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory H Baerenwald
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	5 Years
Location	3263 Eaton Rd, Green Bay, Wisconsin
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:

Mallory H Baerenwald graduated from medical school in 2019

NPI Data:

NPI Number: 1548804370
Provider Enumeration Date: 11/05/2019
Last Update Date: 04/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5597199224
Enrollment ID: I20200106000293

Medical Identifiers

Medical identifiers for Mallory H Baerenwald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548804370	NPI	-	NPPES
86087767	Other		COMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3465-29 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bellin Memorial Hospital Inc	8820900749	513

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. Mallory H Baerenwald allows following entities to bill medicare on her behalf.

Provider Name	Bellin Memorial Hospital Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089

Provider Name	Oconto Hospital & Medical Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836

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. Mallory H Baerenwald 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
Mallory H Baerenwald, MS,RD,CD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222	Mallory H Baerenwald, MS,RD,CD 3263 Eaton Rd, Green Bay, WI 54311-6830 Ph: (920) 433-6700

Reviews and Comments

Dietitian, Registered in Green Bay, WI

Bonnie Marie Cleven, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1207 Grignon St, Green Bay, WI 54301 Phone: 920-857-9093
Anne Marie Vollrath, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700
Connie Bloedel, CERTIFIED DIETICIAN Dietitian Medicare: Medicare Enrolled Practice Location: 1727 Shawano Ave, Green Bay, WI 54303 Phone: 920-272-1010
Amber M Langill, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500
Lee A Hyrkas, RD,CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 Fax: 920-430-4747
Kelsey Stoeger, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2740
Elizabeth Larson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3229

Mallory H Baerenwald, MS,RD,CD - Medicare Dietitian in Green Bay, WI