Kelly Walker Brown, MD, MBA is a medicare enrolled "Urology" physician in Greenwood Village, Colorado. Her current practice location is
255 South Routt Street, Ste 420, Greenwood Village, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 666-4739.
Kelly Walker Brown is licensed to practice in Wisconsin (license number 73658) 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 1063839512.
Physician's Profile
| Full Name | Kelly Walker Brown |
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| Gender | Female |
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| Speciality | Urology |
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| Location | 255 South Routt Street, Greenwood Village, Colorado |
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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: 1063839512
- Provider Enumeration Date: 03/22/2014
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880985936
- Enrollment ID: I20200828001019
Medical Identifiers
Medical identifiers for Kelly Walker Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063839512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | MD210002361 (District Of Columbia) | Secondary |
| 208800000X | Urology | 66518 (Colorado) | Secondary |
| 208800000X | Urology | 138032 (California) | Secondary |
| 208800000X | Urology | 25MA11519700 (New Jersey) | Secondary |
| 208800000X | Urology | T8497 (Texas) | Secondary |
| 208800000X | Urology | 92218 (Georgia) | Secondary |
| 208800000X | Urology | 73658 (Wisconsin) | Primary |
| 208800000X | Urology | 313160 (New York) | Secondary |
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 Walker Brown allows following entities to bill medicare on her behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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. Kelly Walker 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 |
|---|
Kelly Walker Brown, MD, MBA
5555 Dtc Pkwy Ste 300,
Greenwood Village, CO 80111-3180
Ph: (720) 666-4739 | Kelly Walker Brown, MD, MBA
255 South Routt Street, Ste 420,
Greenwood Village, CO 80111-3180
Ph: (720) 666-4739 |
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