Kathy Jane Brandt, LRD is a medicare enrolled "Dietitian, Registered" provider in Rugby, North Dakota. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Good Samaritan Hospital Association and her current practice location is
800 S Main Ave, Rugby, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 776-5261.
Kathy Jane Brandt is licensed to practice in North Dakota (license number 517) 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 1578686549.
Healthcare Provider's Profile
Full Name | Kathy Jane Brandt |
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Gender | Female |
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Speciality | Registered Dietitian Or Nutrition Professional |
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Experience | 28 Years |
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Location | 800 S Main Ave, Rugby, North Dakota |
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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. |
Medical Education and Training:
- Kathy Jane Brandt graduated from medical school in 1996
NPI Data:
- NPI Number: 1578686549
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5890940142
- Enrollment ID: I20130313000024
Medical Identifiers
Medical identifiers for Kathy Jane Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578686549 | NPI | - | NPPES |
17665 | Other | ND | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 517 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Good Samaritan Hospital Association | 6002716701 | 15 |
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. Kathy Jane Brandt allows following entities to bill medicare on her behalf.
Provider Name | Good Samaritan Hospital Association |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1588751325 PECOS PAC ID: 6002716701 Enrollment ID: O20040225000266 |
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Provider Name | Mercy Hospital Of Devils Lake |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1790751170 PECOS PAC ID: 9537128681 Enrollment ID: O20041005001141 |
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Provider Name | Good Samaritan Hospital Association |
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Provider Type | Part A Provider - Critical Access Hospital |
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Provider Identifiers | NPI Number: 1437258969 PECOS PAC ID: 6002716701 Enrollment ID: O20070420000398 |
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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. Kathy Jane Brandt 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 |
Kathy Jane Brandt, LRD 206 15th St Sw, Rugby, ND 58368-2423 Ph: (701) 776-2948 | Kathy Jane Brandt, LRD 800 S Main Ave, Rugby, ND 58368-2118 Ph: (701) 776-5261 |
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