Kelly R Fisher, LRD in Bismarck, ND - Medicare Dietitian, Registered Provider

Kelly R Fisher, LRD is a medicare enrolled "Dietitian, Registered" provider in Bismarck, North Dakota. Her current practice location is 209 N 7th St, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 323-5590.

Kelly R Fisher is licensed to practice in North Dakota (license number 440) 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 1285722926.

Contact Information

	Kelly R Fisher, LRD
	209 N 7th St, Bismarck, ND 58501-4441
	(701) 323-5590
	(701) 323-8109

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly R Fisher
Gender	Female
Speciality	Dietitian, Registered
Location	209 N 7th St, Bismarck, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285722926
Provider Enumeration Date: 10/10/2006
Last Update Date: 11/19/2020

Medicare PECOS Information:

PECOS PAC ID: 7214832708
Enrollment ID: I20031208000136

Medical Identifiers

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

Identifier	Type	State	Issuer
1285722926	NPI	-	NPPES
59579	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	440 (North Dakota)	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 R Fisher allows following entities to bill medicare on her behalf.

Provider Name	Sanford Bismarck
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403

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 R Fisher 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 R Fisher, LRD Po Box 5501, Bismarck, ND 58506-5501 Ph: (701) 323-6000	Kelly R Fisher, LRD 209 N 7th St, Bismarck, ND 58501-4441 Ph: (701) 323-5590

Reviews and Comments

Dietitian, Registered in Bismarck, ND

Paige Scherer, RDN, LRD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7877 Fax: 701-530-7890
Nicole A Enzminger, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709
Ms. Amanda K Ihmels, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709
Mikaela Hirst, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000
Sierra Kolle, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000
Shelley Porter, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 E Broadway Avenue, Bismarck, ND 58501 Phone: 701-530-7000 Fax: 701-530-8842
Michelle Kudrna, RD Dietitian Medicare: Medicare Enrolled Practice Location: 765 W Interstate Ave, Bismarck, ND 58503 Phone: 701-323-5437

Kelly R Fisher, LRD - Medicare Dietitian in Bismarck, ND