Brooke Kudelka, MS, RDN in St George, UT - Medicare Dietitian, Registered Provider

Brooke Kudelka, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in St George, Utah. Her current practice location is 1380 E Medical Center Dr, St George, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 251-4512.

Brooke Kudelka is licensed to practice in Utah (license number 11041471-4901) 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 1922726876.

Contact Information

	Brooke Kudelka, MS, RDN
	1380 E Medical Center Dr, St George, UT 84790-2123
	(435) 251-4512
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Kudelka
Gender	Female
Speciality	Dietitian, Registered
Location	1380 E Medical Center Dr, St George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922726876
Provider Enumeration Date: 08/17/2022
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 4284005562
Enrollment ID: I20230124002661

Medical Identifiers

Medical identifiers for Brooke Kudelka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922726876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	11041471-4901 (Utah)	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. Brooke Kudelka allows following entities to bill medicare on her behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Brooke Kudelka 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
Brooke Kudelka, MS, RDN 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-4512	Brooke Kudelka, MS, RDN 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-4512

Reviews and Comments

Dietitian, Registered in St George, UT

Sara Fausett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 230 N 1680 E Bldg N, St George, UT 84790 Phone: 435-634-7608
Mckell Lemmon, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 652 S Medical Center Dr, St George, UT 84790 Phone: 435-720-2468
Mr. Mark A Mayr, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 720 S River Rd Ste D1100, St George, UT 84790 Phone: 435-656-0857
Mary Della Brown, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr Ste 1600, St George, UT 84790 Phone: 435-251-4150
Christie Ann Benton, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 544 S 400 E, Clinical Nutrition, St George, UT 84770 Phone: 435-688-4184
Jill Bryan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000
Benjamin Clark Hermansen, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1739 W Sunset Blvd, St George, UT 84770 Phone: 435-634-6000

Brooke Kudelka, MS, RDN - Medicare Dietitian in St George, UT