Kennetra Bradshaw, RD in Covington, KY - Medicare Registered Dietitian Or Nutrition Professional Provider

Kennetra Bradshaw, RD is a medicare enrolled "Dietitian, Registered" provider in Covington, Kentucky. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Summit Medical Group, Inc and her current practice location is 1500 James Simpson Jr Way, Covington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 655-8910.

Kennetra Bradshaw is licensed to practice in Kentucky (license number 261387) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013420207.

Contact Information

	Kennetra Bradshaw, RD
	1500 James Simpson Jr Way, Covington, KY 41011-0801
	(859) 655-8910
	(859) 655-8911

Map and Direction

Healthcare Provider's Profile

Full Name	Kennetra Bradshaw
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	7 Years
Location	1500 James Simpson Jr Way, Covington, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kennetra Bradshaw graduated from medical school in 2017

NPI Data:

NPI Number: 1013420207
Provider Enumeration Date: 11/09/2017
Last Update Date: 02/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1850727637
Enrollment ID: I20210225003342

Medical Identifiers

Medical identifiers for Kennetra Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013420207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD08373 (Ohio)	Secondary
133V00000X	Dietitian, Registered	261387 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group, Inc	2163326240	712

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. Kennetra Bradshaw allows following entities to bill medicare on her behalf.

Provider Name	Summit Medical Group, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738

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. Kennetra Bradshaw 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
Kennetra Bradshaw, RD 35 Plymouth Ln, Elsmere, KY 41018-2717 Ph: () -	Kennetra Bradshaw, RD 1500 James Simpson Jr Way, Covington, KY 41011-0801 Ph: (859) 655-8910

Reviews and Comments

Dietitian, Registered in Covington, KY

Mrs. Briana L. Vitucci, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910
Rae Elizagaray, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911
Grace Anne Lubbe, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911
Brenda Sis, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911
Jessica Flesch, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 103 E 3rd St Apt 606, Covington, KY 41011 Phone: 859-663-5050
Brianna Powell, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911

Kennetra Bradshaw, RD - Medicare Dietitian in Covington, KY