Kristen Keen, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Mcminnville, Tennessee. Her current practice location is
111 W End Ave, Mcminnville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(502) 530-4812.
Kristen Keen is licensed to practice in Tennessee (license number LDN0000002835) 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 1609342351.
Healthcare Provider's Profile
| Full Name | Kristen Keen |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 111 W End Ave, Mcminnville, Tennessee |
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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: 1609342351
- Provider Enumeration Date: 10/21/2018
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880938885
- Enrollment ID: I20181203000693
Medical Identifiers
Medical identifiers for Kristen Keen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609342351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | D-1164 (Idaho) | Secondary |
| 133V00000X | Dietitian, Registered | 164.007931 (Illinois) | Secondary |
| 133V00000X | Dietitian, Registered | 3080 (Louisiana) | Secondary |
| 133V00000X | Dietitian, Registered | MED-NUTR-LIC-80272 (Montana) | Secondary |
| 133V00000X | Dietitian, Registered | DT86292 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | 285809 (Kentucky) | Secondary |
| 133V00000X | Dietitian, Registered | LDN0000002835 (Tennessee) | 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. Kristen Keen allows following entities to bill medicare on her behalf.
| Provider Name | The Kroger Co |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1588325153
PECOS PAC ID: 6103738653
Enrollment ID: O20231121001043 |
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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. Kristen Keen 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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Kristen Keen, RD, LDN
2620 Elm Hill Pike,
Nashville, TN 37214-3108
Ph: (615) 425-4200 | Kristen Keen, RD, LDN
111 W End Ave,
Mcminnville, TN 37110-1942
Ph: (502) 530-4812 |
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