Kendall Brown, PA-C, RD/LD is a medicare enrolled "Physician Assistant" provider in Oklahoma City, Oklahoma. Her current practice location is
535 Nw 9th St Ste 205, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 772-4338.
Kendall Brown is licensed to practice in Oklahoma (license number 5322) 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 1093341406.
Healthcare Provider's Profile
| Full Name | Kendall Brown |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 535 Nw 9th St Ste 205, Oklahoma City, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093341406
- Provider Enumeration Date: 03/17/2020
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163853805
- Enrollment ID: I20200512002755
Medical Identifiers
Medical identifiers for Kendall Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093341406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 2482 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 5322 (Oklahoma) | 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. Kendall Brown allows following entities to bill medicare on her behalf.
| Provider Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801869250
PECOS PAC ID: 2860304334
Enrollment ID: O20031103000607 |
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| Provider Name | Ou Health Partners Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618 |
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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. Kendall Brown 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 |
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Kendall Brown, PA-C, RD/LD
535 Nw 9th St Ste 205,
Oklahoma City, OK 73102-1077
Ph: (405) 772-4338 | Kendall Brown, PA-C, RD/LD
535 Nw 9th St Ste 205,
Oklahoma City, OK 73102-1077
Ph: (405) 772-4338 |
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