Kathryn Brandenburger, RDN is a medicare enrolled "Dietitian, Registered" provider in Lino Lakes, Minnesota. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
725 Country Lakes Dr, Lino Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 214-5480.
Kathryn Brandenburger is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629761101.
Healthcare Provider's Profile
| Full Name | Kathryn Brandenburger |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 15 Years |
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| Location | 725 Country Lakes Dr, Lino Lakes, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathryn Brandenburger graduated from medical school in 2011
NPI Data:
- NPI Number: 1629761101
- Provider Enumeration Date: 05/31/2023
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022593946
- Enrollment ID: I20260330001035
Medical Identifiers
Medical identifiers for Kathryn Brandenburger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629761101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Kathryn Brandenburger allows following entities to bill medicare on her behalf.
| Provider Name | KB Nutrition Counseling |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902663511
PECOS PAC ID: 7113402033
Enrollment ID: O20260330000952 |
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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. Kathryn Brandenburger 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 |
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Kathryn Brandenburger, RDN
725 Country Lakes Dr,
Lino Lakes, MN 55014-5489
Ph: (651) 214-5480 | Kathryn Brandenburger, RDN
725 Country Lakes Dr,
Lino Lakes, MN 55014-5489
Ph: (651) 214-5480 |
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