Kelly Lynne Peper, RD in Tempe, AZ - Medicare Dietitian, Registered Provider

Kelly Lynne Peper, RD is a medicare enrolled "Dietitian, Registered" provider in Tempe, Arizona. Her current practice location is 1840 E Broadway Rd, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 243-7277.

Kelly Lynne Peper is licensed to practice in Arizona (license number 1051673) 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 1104540491.

Contact Information

	Kelly Lynne Peper, RD
	1840 E Broadway Rd, Tempe, AZ 85282-1614
	(602) 243-7277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Lynne Peper
Gender	Female
Speciality	Dietitian, Registered
Location	1840 E Broadway Rd, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104540491
Provider Enumeration Date: 09/29/2022
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4880062074
Enrollment ID: I20221118001817

Medical Identifiers

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

Identifier	Type	State	Issuer
1104540491	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1051673 (Arizona)	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 Lynne Peper allows following entities to bill medicare on her behalf.

Provider Name	Mountain Park Health Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460

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 Lynne Peper 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 Lynne Peper, RD 832 E Powell Way, Chandler, AZ 85249-3012 Ph: (480) 296-9633	Kelly Lynne Peper, RD 1840 E Broadway Rd, Tempe, AZ 85282-1614 Ph: (602) 243-7277

Reviews and Comments

Dietitian, Registered in Tempe, AZ

Tracey A. Grant, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 E Wesleyan Dr, Tempe, AZ 85282 Phone: 817-905-6467
Vivianne Swart, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 950 W Elliot Rd, Suite 201, Tempe, AZ 85284 Phone: 480-303-0844
Ambar Yudell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans Way, Tempe, AZ 85287 Phone: 847-722-3821
Kirsten Wassum, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1492 S Mill Ave, Suite 312, Tempe, AZ 85281 Phone: 602-243-7277 Fax: 480-927-1092
Tana D Ingram, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 480-495-0314
Kali Renea Gallaher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3501 S Mcclintock Dr Apt 1086, Tempe, AZ 85282 Phone: 614-205-7148

Kelly Lynne Peper, RD - Medicare Dietitian in Tempe, AZ