Kelly L Devine, MS, RDN, LDN in Tinley Park, IL - Medicare Dietitian, Registered Provider

Kelly L Devine, MS, RDN, LDN is a medicare enrolled "Dietitian, Registered" provider in Tinley Park, Illinois. Her current practice location is 6811 167th St Ste 6, Tinley Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 608-9014.

Kelly L Devine is licensed to practice in Illinois (license number 164.004722) 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 1003001405.

Contact Information

	Kelly L Devine, MS, RDN, LDN
	6811 167th St Ste 6, Tinley Park, IL 60477-2501
	(708) 608-9014
	(708) 377-0060

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly L Devine
Gender	Female
Speciality	Dietitian, Registered
Location	6811 167th St Ste 6, Tinley Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003001405
Provider Enumeration Date: 09/09/2007
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2062502941
Enrollment ID: I20240604002799

Medical Identifiers

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

Identifier	Type	State	Issuer
1003001405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164.004722 (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 L Devine allows following entities to bill medicare on her behalf.

Provider Name	Devine Nutrition Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982012241 PECOS PAC ID: 7214297936 Enrollment ID: O20240604002937

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 L Devine 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 L Devine, MS, RDN, LDN 6521 Charleston St, Oak Forest, IL 60452-2626 Ph: (708) 612-0876	Kelly L Devine, MS, RDN, LDN 6811 167th St Ste 6, Tinley Park, IL 60477-2501 Ph: (708) 608-9014

Reviews and Comments

Dietitian, Registered in Tinley Park, IL

Brain Body Bite Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6701 South St Apt 211, Tinley Park, IL 60477 Phone: 708-925-2025
Robert Arnott, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17603 Pheasant Dr, Tinley Park, IL 60487 Phone: 708-417-5517
Margherita Marie Johnson, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18425 W West Creek Dr Ste G, Tinley Park, IL 60477 Phone: 708-532-1337
Mrs. Jodi M Limacher, M.S., R.D., C.D.E Dietitian Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-226-7000
Paige Manso, RDN/LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6701 South St Apt 211, Tinley Park, IL 60477 Phone: 708-925-2025
Nabila Alcordo, RD Dietitian Medicare: Medicare Enrolled Practice Location: 18210 La Grange Rd Ste 201, Tinley Park, IL 60487 Phone: 708-945-6328

Kelly L Devine, MS, RDN, LDN - Medicare Dietitian in Tinley Park, IL