Kelly Marie Bryan, DO in Mankato, MN

Kelly Marie Bryan, DO is a medicare enrolled "Pediatrics" physician in Mankato, Minnesota. Her current practice location is 1421 Premier Dr, Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 389-8529.

Kelly Marie Bryan is licensed to practice in Minnesota (license number 67340) 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 1942732763.

Contact Information

	Kelly Marie Bryan, DO
	1421 Premier Dr, Mankato, MN 56001-6076
	(507) 389-8529
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Marie Bryan
Gender	Female
Speciality	Pediatrics
Location	1421 Premier Dr, Mankato, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942732763
Provider Enumeration Date: 03/30/2017
Last Update Date: 08/26/2020

Medicare PECOS Information:

PECOS PAC ID: 7416207188
Enrollment ID: I20200918000141

Medical Identifiers

Medical identifiers for Kelly Marie Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942732763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R4609 (Kentucky)	Secondary
208000000X	Pediatrics	67340 (Minnesota)	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 Marie Bryan allows following entities to bill medicare on her behalf.

Entity Name	Mankato Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231

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 Marie Bryan 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 Marie Bryan, DO 1421 Premier Dr, Mankato, MN 56001-6076 Ph: (507) 389-8529	Kelly Marie Bryan, DO 1421 Premier Dr, Mankato, MN 56001-6076 Ph: (507) 389-8529

Reviews and Comments

Pediatrics Doctors in Mankato, MN

Dr. Manasa Karumuri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-4700
Krista Hemmesch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Matthew Gunars Thompson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-4863
Kenneth C Weimer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Darla J Wrage, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1421 Premier Dr, Mankato, MN 56001 Phone: 507-625-1811
Dr. Rachel L. Singh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Ebtihal Ahmed Mohamed Ahmed, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031

Kelly Marie Bryan, DO - Medicare Pediatrics in Mankato, MN