MS. MARY ELIZABETH POLHAMUS RD
NPI 1336665959
Nutritionist - Nutrition, Education in Maple Valley, WA
NPI Status: Active since August 15, 2017
Contact Information
24060 SE KENT KANGLEY RD STE D100
MAPLE VALLEY, WA
ZIP 98038
Phone: (425) 690-3522
Fax: (425) 690-9522
- Individual
- Female
- Years of Experience 14
- Nutritionist
- Nutrition, Education
- Accepts Insurance
- Accepts Medicare Approved Payment
About MARY POLHAMUS
This page provides the complete NPI Profile along with additional information for Mary Polhamus, a provider established in Maple Valley, Washington with a medical specialization in Nutritionist, focusing in nutrition, education and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1336665959 assigned on August 2017. The practitioner's primary taxonomy code is 133NN1002X with license number DI60752527 (WA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1336665959
- Provider Name
- MS. MARY ELIZABETH POLHAMUS RD
- Other Name
- MARY ELIZABETH WALTON RD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 24060 SE KENT KANGLEY RD STE D100 MAPLE VALLEY, WA 98038
- Location Phone
- (425) 690-3522
- Location Fax
- (425) 690-9522
- Mailing Address
- PO BOX 34876 SEATTLE, WA 98124
- Mailing Phone
- (425) 690-2715
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-15-2017
- Last Update Date
- 10-02-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nutritionist Nutrition, Education
- Taxonomy Code
- 133NN1002X
- Type
- Dietary & Nutritional Service Providers
- License No.
- DI60752527
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | DI60752527 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mary Polhamus is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9830453919
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20180426002077
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Diabetes outpatient self-management training services, individual, per 30 minutes
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
This service was performed 65 times for 18 patientsReviews for MS. MARY ELIZABETH POLHAMUS RD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 6 | 5 | 9 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 6 | 10 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 6 + 1 + 0 + 9 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1336665959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972955201 | TESSA M. RAVOTTI DPT Individual | Physical Therapist | 24060 SE KENT KANGLEY RD STE D100 MAPLE VALLEY, WA 98038 (425) 690-3522 |
| 1336678531 | THOMAS HAMMETT DPT Individual | Physical Therapist | 24060 SE KENT KANGLEY RD STE D100 MAPLE VALLEY, WA 98038 (425) 433-0123 |
| 1649751900 | DR. GARRETT BRENT HOSKINS II PT, DPT Individual | Physical Therapist | 24060 SE KENT KANGLEY RD STE D100 MAPLE VALLEY, WA 98038 (425) 690-3522 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336665959, enumerated in the NPI registry as an "individual" on August 15, 2017
The provider is located at 24060 Se Kent Kangley Rd Ste D100 Maple Valley, Wa 98038 and the phone number is (425) 690-3522
The provider's speciality is Nutritionist with taxonomy code 133NN1002X with a focus in Nutrition, Education
The provider has more than 14 years of experience.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Diabetes outpatient self-management training services, individual, per 30 minutes.
This NPI record was last updated on August 15, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.