Kelly Michelle Kennelley, RD, LDN in Erie, PA - Medicare Dietitian, Registered Provider

Kelly Michelle Kennelley, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Erie, Pennsylvania. Her current practice location is 100 Barber Pl, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 453-7661.

Kelly Michelle Kennelley is licensed to practice in Pennsylvania (license number DN002326) 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 1083910012.

Contact Information

	Kelly Michelle Kennelley, RD, LDN
	100 Barber Pl, Erie, PA 16507-1863
	(814) 453-7661
	(814) 874-5505

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Michelle Kennelley
Gender	Female
Speciality	Dietitian, Registered
Location	100 Barber Pl, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083910012
Provider Enumeration Date: 02/09/2011
Last Update Date: 02/09/2011

Medicare PECOS Information:

PECOS PAC ID: 3779970074
Enrollment ID: I20220504001874

Medical Identifiers

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

Identifier	Type	State	Issuer
1083910012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DN002326 (Pennsylvania)	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 Michelle Kennelley allows following entities to bill medicare on her behalf.

Provider Name	Shriners Hospitals For Children
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982971503 PECOS PAC ID: 9133031933 Enrollment ID: O20121012000051

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 Michelle Kennelley 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 Michelle Kennelley, RD, LDN 100 Barber Pl, Erie, PA 16507-1863 Ph: (814) 453-7661	Kelly Michelle Kennelley, RD, LDN 100 Barber Pl, Erie, PA 16507-1863 Ph: (814) 453-7661

Reviews and Comments

Dietitian, Registered in Erie, PA

Kimberly Riley Eccles, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3330 Peach St, Suite 211, Erie, PA 16508 Phone: 814-877-5484 Fax: 814-877-5489
Natalie A Kujan, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5515 Peach St, Erie, PA 16509 Phone: 814-864-4031 Fax: 814-868-7770
Heather Leann Fortsch, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1720 Holland St, Erie, PA 16503 Phone: 814-453-5747
Mrs. Jamie L Moraski, RD,LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3822 Colonial Ave, Erie, PA 16506 Phone: 814-835-2626 Fax: 814-835-2646
Ms. Kimberly Ann Crowl, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 350 E Bayfront Pkwy, Unit C, Erie, PA 16507 Phone: 814-455-2279 Fax: 814-871-1786
Marianne Schneider, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2146 Fax: 814-860-2111
Ashley Lauria, RD, LDN, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2361

Kelly Michelle Kennelley, RD, LDN - Medicare Dietitian in Erie, PA