Kelly Povroznik, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Buckhannon, West Virginia. Her current practice location is
1 Amalia Dr, Buckhannon, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 473-2197.
Kelly Povroznik is licensed to practice in West Virginia (license number 1050) 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 1306484373.
Healthcare Provider's Profile
| Full Name | Kelly Povroznik |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1 Amalia Dr, Buckhannon, West Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1306484373
- Provider Enumeration Date: 12/20/2019
- Last Update Date: 04/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800223447
- Enrollment ID: I20200220003012
Medical Identifiers
Medical identifiers for Kelly Povroznik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306484373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1050 (West Virginia) | 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 Povroznik allows following entities to bill medicare on her behalf.
| Provider Name | St Joseph's Hospital Of Buckhannon Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1124005061
PECOS PAC ID: 6709828163
Enrollment ID: O20050525000839 |
|---|
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 Povroznik 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 Povroznik, MS, RD, LD
1 Amalia Dr,
Buckhannon, WV 26201-2200
Ph: (304) 473-2197 | Kelly Povroznik, MS, RD, LD
1 Amalia Dr,
Buckhannon, WV 26201-2200
Ph: (304) 473-2197 |
Reviews and Comments