Brianna Nicole Krelo, is a
Occupational Therapist physician based in Herrin, Illinois. Brianna Nicole Krelo is licensed to practice in Illinois (license number 056010390) and her current practice location is 201 S 14th St, Herrin, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 942-2171.
NPI number for Brianna Nicole Krelo is 1972147213 and her current mailing address is 201 S 14th St, Herrin, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972147213.
Physician's Profile
| Full Name | Brianna Nicole Krelo |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 201 S 14th St, Herrin, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972147213
- Provider Enumeration Date: 10/30/2019
- Last Update Date: 02/06/2020
Medical Identifiers
Medical identifiers for Brianna Nicole Krelo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972147213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 1972147213 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 1972147213 (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 056010390 (Illinois) | Primary |
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. Brianna Nicole Krelo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brianna Nicole Krelo,
201 S 14th St,
Herrin, IL 62948-3631
Ph: () - | Brianna Nicole Krelo,
201 S 14th St,
Herrin, IL 62948-3631
Ph: (618) 942-2171 |
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