Kelsey Birchem, DDS is a medicare enrolled "Dentist" provider in Dodge, Nebraska. Her current practice location is
445 2nd St, Dodge, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 693-2285.
Kelsey Birchem is licensed to practice in Oregon (license number D11044) 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 1659931301.
Healthcare Provider's Profile
Full Name | Kelsey Birchem |
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Gender | Female |
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Speciality | Dentist |
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Location | 445 2nd St, Dodge, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659931301
- Provider Enumeration Date: 06/15/2019
- Last Update Date: 04/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496086480
- Enrollment ID: I20210324000629
Medical Identifiers
Medical identifiers for Kelsey Birchem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659931301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D11044 (Oregon) | 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. Kelsey Birchem allows following entities to bill medicare on her behalf.
Entity Name | Good Neighbor Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740491786 PECOS PAC ID: 0840100392 Enrollment ID: O20040327000235 |
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Entity Name | Good Neighbor Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902287261 PECOS PAC ID: 0840100392 Enrollment ID: O20150624001057 |
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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. Kelsey Birchem 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 |
Kelsey Birchem, DDS 445 2nd St, Dodge, NE 68633-3113 Ph: (402) 693-2285 | Kelsey Birchem, DDS 445 2nd St, Dodge, NE 68633-3113 Ph: (402) 693-2285 |
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