Brian A Keppen, RD is a medicare enrolled "Dietitian, Registered" provider in Barron, Wisconsin. Her current practice location is
1222 E Woodland Ave, Barron, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 838-5222.
Brian A Keppen is licensed to practice in Wisconsin (license number 1572) 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 1619937604.
Healthcare Provider's Profile
| Full Name | Brian A Keppen |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1222 E Woodland Ave, Barron, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619937604
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 01/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608802939
- Enrollment ID: I20050708000735
Medical Identifiers
Medical identifiers for Brian A Keppen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619937604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1572 (Wisconsin) | 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. Brian A Keppen allows following entities to bill medicare on her behalf.
| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235588831
PECOS PAC ID: 4385553627
Enrollment ID: O20161109002075 |
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| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1740239557
PECOS PAC ID: 4385553627
Enrollment ID: O20171012000112 |
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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. Brian A Keppen 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 |
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Brian A Keppen, RD
1222 E Woodland Ave,
Barron, WI 54812-1765
Ph: (715) 838-5222 | Brian A Keppen, RD
1222 E Woodland Ave,
Barron, WI 54812-1765
Ph: (715) 838-5222 |
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