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

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Kelly C O'heron, RD CD is a medicare enrolled "Dietitian, Registered" provider in Columbus, Wisconsin. 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 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 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 NameKelly C O'heron
GenderFemale
SpecialityDietitian, Registered
Location1515 Park Ave, Columbus, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1326062415NPI-NPPES
490905189007OtherWIANTHEM BC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1939 (Wisconsin)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 C O'heron allows following entities to bill medicare on her behalf.
Provider NamePrairie Ridge Health Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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: Medicare Enrolled
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.