Kelly C O'heron, RD CD in Columbus, WI - Medicare Registered Dietitian Or Nutrition Professional Provider

Kelly C O'heron, RD CD is a medicare enrolled "Dietitian, Registered" provider in Columbus, Wisconsin. She graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Prairie Ridge Health Inc and her current practice location is 1515 Park Ave, Columbus, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 623-2200.

Kelly C O'heron is licensed to practice in Wisconsin (license number 1939) 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 1326062415.

Contact Information

	Kelly C O'heron, RD CD
	1515 Park Ave, Columbus, WI 53925-2402
	(920) 623-2200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly C O'heron
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	20 Years
Location	1515 Park Ave, Columbus, Wisconsin
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:

Kelly C O'heron graduated from medical school in 2005

NPI Data:

NPI Number: 1326062415
Provider Enumeration Date: 07/26/2006
Last Update Date: 03/03/2025

Medicare PECOS Information:

PECOS PAC ID: 0446254551
Enrollment ID: I20060901000334

Medical Identifiers

Medical identifiers for Kelly C O'heron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326062415	NPI	-	NPPES
490905189007	Other	WI	ANTHEM BC/BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1939 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Columbus Community Hospital	Columbus, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prairie Ridge Health Inc	6800791484	58

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 C O'heron allows following entities to bill medicare on her behalf.

Provider Name	Prairie Ridge Health Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777

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 C O'heron 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 C O'heron, RD CD 1515 Park Ave, Columbus, WI 53925-2402 Ph: (920) 623-2200	Kelly C O'heron, RD CD 1515 Park Ave, Columbus, WI 53925-2402 Ph: (920) 623-2200

Reviews and Comments

Dietitian, Registered in Columbus, WI

Mrs. Katelyn Michele Knapp, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-2200
Emily Rebecca Moore, MS, RD, CD, CSO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-350-2672 Fax: 920-623-1250
Emma Hubbard, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200
Rachel Ramlet Adler, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-1545 Fax: 920-623-1441
Mrs. Jessica J Davidson, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-1294 Fax: 920-623-1250
Carley Thomas, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 320-623-1292

Kelly C O'heron, RD CD - Medicare Dietitian in Columbus, WI