Matthew Phillip Grunewald, RDN in Kent, WA - Medicare Dietitian, Registered Provider

Matthew Phillip Grunewald, RDN is a medicare enrolled "Dietitian, Registered" provider in Kent, Washington. His current practice location is 25012 104th Ave Se Ste C, Kent, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 856-3477.

Matthew Phillip Grunewald is licensed to practice in Washington (license number DI60675580) 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 1487112272.

Contact Information

	Matthew Phillip Grunewald, RDN
	25012 104th Ave Se Ste C, Kent, WA 98030-2821
	(253) 856-3477
	(253) 856-3478

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Phillip Grunewald
Gender	Male
Speciality	Dietitian, Registered
Location	25012 104th Ave Se Ste C, Kent, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487112272
Provider Enumeration Date: 03/11/2019
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0648513036
Enrollment ID: I20190529001006

Medical Identifiers

Medical identifiers for Matthew Phillip Grunewald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487112272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI60675580 (Washington)	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. Matthew Phillip Grunewald allows following entities to bill medicare on his behalf.

Provider Name	Kaiser Foundation Health Plan Of Washington
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Matthew Phillip Grunewald 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
Matthew Phillip Grunewald, RDN 125 16th Ave E, Seattle, WA 98112-5211 Ph: (206) 326-3000	Matthew Phillip Grunewald, RDN 25012 104th Ave Se Ste C, Kent, WA 98030-2821 Ph: (253) 856-3477

Reviews and Comments

Dietitian, Registered in Kent, WA

Rebecca A Leslie, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1404 Central Ave S, Suite 112, Kent, WA 98032 Phone: 206-205-1940 Fax: 206-205-5499
Erin Phillips Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6642 S 193rd Pl Ste N106, Kent, WA 98032 Phone: 707-247-8226
Edith Shreckengast, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25012 104th Ave Se Ste C, Kent, WA 98030 Phone: 253-856-3477
Mrs. Donna L Maher, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24528 147th Ave Se, Kent, WA 98042 Phone: 425-235-7815 Fax: 425-235-7832
Kelly Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6642 S 193rd Pl Ste N106, Kent, WA 98032 Phone: 206-486-4867
Marisol Thomas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 233 2nd Ave S, Kent, WA 98032 Phone: 206-436-6360
Ms. Suzanne Baily, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6852 S 220th St, Kent, WA 98032 Phone: 253-872-3460 Fax: 253-872-3448

Matthew Phillip Grunewald, RDN - Medicare Dietitian in Kent, WA