Kellie R Bryant, is a medicare enrolled "Dietitian, Registered" provider in Pawnee, Oklahoma. Her current practice location is
1201 Heritage Cir, Pawnee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 762-6638.
Kellie R Bryant is licensed to practice in Oklahoma (license number 805) 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 1649467424.
Healthcare Provider's Profile
Full Name | Kellie R Bryant |
---|
Gender | Female |
---|
Speciality | Dietitian, Registered |
---|
Location | 1201 Heritage Cir, Pawnee, Oklahoma |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649467424
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 09/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 5890736821
- Enrollment ID: I20050519000409
Medical Identifiers
Medical identifiers for Kellie R Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649467424 | NPI | - | NPPES |
8HD668 | Other | OK | MEDICARE PROVIDER NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 805 (Oklahoma) | 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. Kellie R Bryant allows following entities to bill medicare on her behalf.
Provider Name | Pawnee Indian Health Center |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1629174081 PECOS PAC ID: 2769470160 Enrollment ID: O20040504001225 |
---|
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. Kellie R Bryant 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 |
Kellie R Bryant, 1201 Heritage Cir, Pawnee, OK 74058-3744 Ph: (918) 762-6638 | Kellie R Bryant, 1201 Heritage Cir, Pawnee, OK 74058-3744 Ph: (918) 762-6638 |
Reviews and Comments