Mrs Emily Josephine Kelley-brown, MPH, RD, CD, CSP is a medicare enrolled "Dietitian, Registered" provider in Stanwood, Washington. Her current practice location is
18126 76th Ave Nw, Stanwood, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 238-4901.
Mrs Emily Josephine Kelley-brown is licensed to practice in Washington (license number DI60065377) 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 1710217419.
Healthcare Provider's Profile
Full Name | Mrs Emily Josephine Kelley-brown |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 18126 76th Ave Nw, Stanwood, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710217419
- Provider Enumeration Date: 01/04/2010
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890827018
- Enrollment ID: I20240418002375
Medical Identifiers
Medical identifiers for Mrs Emily Josephine Kelley-brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710217419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | DT89526 (Texas) | Secondary |
133V00000X | Dietitian, Registered | DI60065377 (Washington) | 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. Mrs Emily Josephine Kelley-brown allows following entities to bill medicare on her behalf.
Provider Name | Ovum Medical, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1205536703 PECOS PAC ID: 9032578943 Enrollment ID: O20230710001700 |
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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. Mrs Emily Josephine Kelley-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 |
Mrs Emily Josephine Kelley-brown, MPH, RD, CD, CSP 18126 76th Ave Nw, Stanwood, WA 98292-8929 Ph: (425) 238-4901 | Mrs Emily Josephine Kelley-brown, MPH, RD, CD, CSP 18126 76th Ave Nw, Stanwood, WA 98292-8929 Ph: (425) 238-4901 |
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