Katherine Kaelie O'bryan, MS, RD, LD in Fort Worth, TX - Medicare Dietitian, Registered Provider

Katherine Kaelie O'bryan, MS, RD, LD is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Fort Worth, Texas. Her current practice location is 1500 Cooper St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-7960.

Katherine Kaelie O'bryan is licensed to practice in Texas (license number DT84165) 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 1871019208.

Contact Information

	Katherine Kaelie O'bryan, MS, RD, LD
	1500 Cooper St, Fort Worth, TX 76104-2710
	(682) 885-7960
	(682) 885-1327

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Kaelie O'bryan
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Pediatric
Location	1500 Cooper St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871019208
Provider Enumeration Date: 08/17/2017
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8729351796
Enrollment ID: I20170913003234

Medical Identifiers

Medical identifiers for Katherine Kaelie O'bryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871019208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	DT84165 (Texas)	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. Katherine Kaelie O'bryan allows following entities to bill medicare on her behalf.

Provider Name	Cook Childrens Physician Network
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Katherine Kaelie O'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
Katherine Kaelie O'bryan, MS, RD, LD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855	Katherine Kaelie O'bryan, MS, RD, LD 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-7960

Reviews and Comments

Dietitian, Registered in Fort Worth, TX

Allison Conklin, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-569-4300
Janet Gaytan, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4000
Rachel Hill, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-4007 Fax: 682-885-4004
Miss Marley Grams, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 940-300-7012
Robin Caroline Dagg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6824 Brants Ln, Fort Worth, TX 76116 Phone: 501-650-4282
Kendall Castles, MS,RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-1990 Fax: 682-885-1985
Rhonda Michelle Baccherini, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4420 Heritage Trace Pkwy Ste 312, Fort Worth, TX 76244 Phone: 817-993-6516 Fax: 817-562-4467

Katherine Kaelie O'bryan, MS, RD, LD - Medicare Dietitian in Fort Worth, TX