Kelly Golladay, RD in Novi, MI - Medicare Dietitian, Registered Provider

Kelly Golladay, RD is a medicare enrolled "Dietitian, Registered" provider in Novi, Michigan. Her current practice location is 39475 Lewis Dr Ste 110, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 277-5784.

Kelly Golladay is licensed to practice in * (Not Available) (license number 86038838) 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 1043783483.

Contact Information

	Kelly Golladay, RD
	39475 Lewis Dr Ste 110, Novi, MI 48377-2977
	(989) 277-5784
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Golladay
Gender	Female
Speciality	Dietitian, Registered
Location	39475 Lewis Dr Ste 110, Novi, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043783483
Provider Enumeration Date: 01/08/2019
Last Update Date: 01/08/2019

Medicare PECOS Information:

PECOS PAC ID: 0143556266
Enrollment ID: I20190727000383

Medical Identifiers

Medical identifiers for Kelly Golladay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043783483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86038838 (* (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. Kelly Golladay allows following entities to bill medicare on her behalf.

Provider Name	Envision Medical Group Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578891750 PECOS PAC ID: 0840315867 Enrollment ID: O20101006000393

Provider Name	Vmd Primary Providers Eastern Michigan Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336625540 PECOS PAC ID: 9234480575 Enrollment ID: O20180925002900

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. Kelly Golladay 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
Kelly Golladay, RD 39475 Lewis Dr Ste 110, Novi, MI 48377-2977 Ph: () -	Kelly Golladay, RD 39475 Lewis Dr Ste 110, Novi, MI 48377-2977 Ph: (989) 277-5784

Reviews and Comments

Dietitian, Registered in Novi, MI

Mary Farrell Gutmann, R.D., M.B.A. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24230 Karim Boulevard, Suite 130, Novi, MI 48375 Phone: 248-919-1100 Fax: 248-919-1109
Marie Nalezyty, MS, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-880-3245
Madelyn M Mcsweeney, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 23710 Hickory Grove Ln, Novi, MI 48375 Phone: 248-719-5796
Dominic Zabell, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30880 Beck Rd, Novi, MI 48377 Phone: 760-518-8874
Deanna Denny, RD Dietitian Medicare: Medicare Enrolled Practice Location: 23455 Haggerty Rd, Novi, MI 48375 Phone: 248-962-5201
Mrs. Meredith Ann Simcox, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 51014 Almafi Ct, Novi, MI 48374 Phone: 248-390-6678

Kelly Golladay, RD - Medicare Dietitian in Novi, MI