Kelly J Coughlin, in Coon Rapids, MN - Medicare Dietitian, Registered Provider

Kelly J Coughlin, is a medicare enrolled "Dietitian, Registered" provider in Coon Rapids, Minnesota. Her current practice location is 3960 Coon Rapids Blvd Nw Ste 220, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-8438.

Kelly J Coughlin is licensed to practice in Minnesota (license number 1578) 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 1124018676.

Contact Information

	Kelly J Coughlin,
	3960 Coon Rapids Blvd Nw Ste 220, Coon Rapids, MN 55433-2589
	(763) 236-8438
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly J Coughlin
Gender	Female
Speciality	Dietitian, Registered
Location	3960 Coon Rapids Blvd Nw Ste 220, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124018676
Provider Enumeration Date: 10/26/2005
Last Update Date: 05/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9638104755
Enrollment ID: I20050928000229

Medical Identifiers

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

Identifier	Type	State	Issuer
1124018676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1578 (Minnesota)	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 J Coughlin allows following entities to bill medicare on her behalf.

Provider Name	Allina Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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 J Coughlin 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 J Coughlin, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Kelly J Coughlin, 3960 Coon Rapids Blvd Nw Ste 220, Coon Rapids, MN 55433-2589 Ph: (763) 236-8438

Reviews and Comments

Dietitian, Registered in Coon Rapids, MN

Stephanie Lane Fennessey, MS, RD, LD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066
Nuha Abdelrahim, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 695-728-3901
Ms. Susan Lee Demorlis, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Mercy Hospital -- Nutrition Services, Coon Rapids, MN 55433 Phone: 763-236-8704
Mrs. Alyssa Marie Rosen, RD Dietitian Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-2045
Jayme Johnson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9910 Killdeer St Nw, Coon Rapids, MN 55433 Phone: 612-247-2483
Ms. Anne Elizabeth Bechtel, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-2045

Kelly J Coughlin, - Medicare Dietitian in Coon Rapids, MN