Shannon Rae Mallory Hertzog, BS, MS - Medicare Dietitian in Battle Ground, WA

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Shannon Rae Mallory Hertzog, BS, MS is a medicare enrolled "Dietitian, Registered" provider in Battle Ground, Washington. Her current practice location is 2005 W Main St Ste 130, Battle Ground, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 882-2778.

Shannon Rae Mallory Hertzog is licensed to practice in Washington (license number DI61176521) 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 1124602560.

Contact Information

Shannon Rae Mallory Hertzog, BS, MS
2005 W Main St Ste 130,
Battle Ground, WA 98604-4311
(360) 882-2778
(360) 604-1785

Map and Direction




Healthcare Provider's Profile

Full NameShannon Rae Mallory Hertzog
GenderFemale
Speciality
Experience Years
Location2005 W Main St Ste 130, Battle Ground, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Rae Mallory Hertzog attended and graduated from in
  NPI Data:
  • NPI Number: 1124602560
  • Provider Enumeration Date: 05/11/2021
  • Last Update Date: 05/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Shannon Rae Mallory Hertzog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124602560NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DI61176521 (Washington)Primary

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. Shannon Rae Mallory Hertzog 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 AddressPractice Location Address
Shannon Rae Mallory Hertzog, BS, MS
700 Ne 87th Ave,
Vancouver, WA 98664-4896

Ph: (360) 882-2778		Shannon Rae Mallory Hertzog, BS, MS
2005 W Main St Ste 130,
Battle Ground, WA 98604-4311

Ph: (360) 882-2778

Reviews and Comments


Dietitian, Registered in Battle Ground, WA

Sea Mar Chc Battleground Mss
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 701 E Main St, Battle Ground, WA 98604
Phone: 360-213-1340    Fax: 360-687-7694

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.