Kelly Blackburn, RDN in Lexington, KY - Medicare Dietitian, Registered Provider

Kelly Blackburn, RDN is a medicare enrolled "Dietitian, Registered" provider in Lexington, Kentucky. Her current practice location is 711 Hambrick Ave, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (818) 641-4892.

Kelly Blackburn is licensed to practice in Kentucky (license number ) 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 1013543172.

Contact Information

	Kelly Blackburn, RDN
	711 Hambrick Ave, Lexington, KY 40508-2307
	(818) 641-4892
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Blackburn
Gender	Female
Speciality	Dietitian, Registered
Location	711 Hambrick Ave, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013543172
Provider Enumeration Date: 03/19/2020
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9133654809
Enrollment ID: I20241119002010

Medical Identifiers

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

Identifier	Type	State	Issuer
1013543172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(Kentucky)	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 Blackburn allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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 Blackburn 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 Blackburn, RDN Po Box 368, Stanville, KY 41659-0368 Ph: () -	Kelly Blackburn, RDN 711 Hambrick Ave, Lexington, KY 40508-2307 Ph: (818) 641-4892

Reviews and Comments

Dietitian, Registered in Lexington, KY

Melissa Omohundro, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 164 Acorn Falls Dr, Lexington, KY 40509 Phone: 859-227-8448
Mrs. Melissa Renee Combs-wright, MS, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 740 S Limestone, Room J 449, Lexington, KY 40536 Phone: 859-323-5404 Fax: 859-323-8179
Mrs. Carole M. Hanners, R.D.,M.S., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Ld120, Lexington, KY 40502 Phone: 859-281-3825 Fax: 859-281-3864
Ms. Mary Jane White, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2050 Versailles Rd, Lexington, KY 40504 Phone: 859-254-5701
Nolan Patrick Buland, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3167 Custer Dr Ste 301, Lexington, KY 40517 Phone: 859-388-9152 Fax: 859-208-2234
Nicole Mcwhorter, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 740 S Limestone Street J418, Lexington, KY 40536 Phone: 859-323-8325 Fax: 859-323-8275

Kelly Blackburn, RDN - Medicare Dietitian in Lexington, KY