Shayna J Bagshaw, RD in Charlestown, MA - Medicare Dietitian, Registered Provider

Shayna J Bagshaw, RD is a medicare enrolled "Dietitian, Registered" provider in Charlestown, Massachusetts. Her current practice location is 191 Main St Apt 1, Charlestown, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (520) 870-7880.

Shayna J Bagshaw is licensed to practice in * (Not Available) (license number ) 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 1962969931.

Contact Information

	Shayna J Bagshaw, RD
	191 Main St Apt 1, Charlestown, MA 02129-3201
	(520) 870-7880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shayna J Bagshaw
Gender	Female
Speciality	Dietitian, Registered
Location	191 Main St Apt 1, Charlestown, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962969931
Provider Enumeration Date: 02/26/2019
Last Update Date: 05/15/2025

Medicare PECOS Information:

PECOS PAC ID: 0941745707
Enrollment ID: I20240716004429

Medical Identifiers

Medical identifiers for Shayna J Bagshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962969931	NPI	-	NPPES
86063915	Other	CA	COMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86063915 (California)	Secondary
133V00000X	Dietitian, Registered	(* (Not Available))	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. Shayna J Bagshaw 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. Shayna J Bagshaw 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
Shayna J Bagshaw, RD 191 Main St Apt 1, Charlestown, MA 02129-3201 Ph: (520) 870-7880	Shayna J Bagshaw, RD 191 Main St Apt 1, Charlestown, MA 02129-3201 Ph: (520) 870-7880

Reviews and Comments

Dietitian, Registered in Charlestown, MA

Mrs. Michelle Mccool, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 38 Belmont St, #1, Charlestown, MA 02129 Phone: 978-314-2628
Alexandra Beall Harvey, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 43 Chestnut St, Charlestown, MA 02129 Phone: 617-444-9976
Rosanne Walsh, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 29 Mystic St, Charlestown, MA 02129 Phone: 617-702-2732
Alicia Orr, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9 Kelley Ct, Charlestown, MA 02129 Phone: 617-922-4266
Ms. Paula Frances Reveliotis, MS,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 122 Bartlett St, Charlestown, MA 02129 Phone: 617-241-5554
Kristine Miklos, Dietitian Medicare: Medicare Enrolled Practice Location: 529 Main St Ofc 334, Charlestown, MA 02129 Phone: 617-999-3896 Fax: 877-743-5351

Shayna J Bagshaw, RD - Medicare Dietitian in Charlestown, MA