Kelly Roehl, in Chicago, IL - Medicare Dietitian, Registered Provider

Kelly Roehl, is a medicare enrolled "Dietitian, Registered" provider in Chicago, Illinois. Her current practice location is 1653 W Congress Pkwy, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 942-0513.

Kelly Roehl is licensed to practice in Illinois (license number 164.005110) 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 1972926210.

Contact Information

	Kelly Roehl,
	1653 W Congress Pkwy, Chicago, IL 60612-3833
	(312) 942-0513
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Roehl
Gender	Female
Speciality	Dietitian, Registered
Location	1653 W Congress Pkwy, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972926210
Provider Enumeration Date: 01/22/2014
Last Update Date: 01/22/2014

Medicare PECOS Information:

PECOS PAC ID: 8426487505
Enrollment ID: I20200413000402

Medical Identifiers

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

Identifier	Type	State	Issuer
1972926210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164.005110 (Illinois)	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 Roehl allows following entities to bill medicare on her behalf.

Provider Name	Rush University Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

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 Roehl 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 Roehl, 525 S Dearborn St, Apt 309, Chicago, IL 60605-1524 Ph: (312) 942-0513	Kelly Roehl, 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (312) 942-0513

Reviews and Comments

Dietitian, Registered in Chicago, IL

Mrs. Marissa Lynn Varner, R.D, M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Health Management Office, Chicago, IL 60631 Phone: 773-594-7448 Fax: 773-594-8454
Mrs. Mireya E Renteria, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2355 S Western Ave, Chicago, IL 60608 Phone: 773-650-1220 Fax: 773-650-1218
Vanessa Alicea Matos, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 W Fulton St, Suite 105, Chicago, IL 60612 Phone: 312-850-3438 Fax: 312-638-9872
Mrs. Renee Ann Clerkin, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 W Wabansia Ave, Unit 214, Chicago, IL 60647 Phone: 317-442-5134
Elizabeth Murphy, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1015 W Lawrence Ave, Chicago, IL 60640 Phone: 773-751-1731
Alice Touma, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1525 W Homer St Ste 101, Chicago, IL 60642 Phone: 888-785-7370
Miss Jun Phan, RDN,LDN Dietitian Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-975-6802

Kelly Roehl, - Medicare Dietitian in Chicago, IL