Kennetra Bradshaw, RD - Medicare Dietitian in Covington, KY

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Kennetra Bradshaw, RD is a medicare enrolled "Dietitian, Registered" provider in Covington, Kentucky. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Summit Medical Group Inc and her current practice location is 1500 James Simpson Jr Way, Covington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 655-8910.

Kennetra Bradshaw is licensed to practice in Kentucky (license number 261387) 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 1013420207.

Contact Information

Kennetra Bradshaw, RD
1500 James Simpson Jr Way,
Covington, KY 41011-0801
(859) 655-8910
(859) 655-8911

Map and Direction




Healthcare Provider's Profile

Full NameKennetra Bradshaw
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience9 Years
Location1500 James Simpson Jr Way, Covington, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kennetra Bradshaw graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1013420207
  • Provider Enumeration Date: 11/09/2017
  • Last Update Date: 02/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1850727637
  • Enrollment ID: I20210225003342

Medical Identifiers

Medical identifiers for Kennetra Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013420207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD08373 (Ohio)Secondary
133V00000XDietitian, Registered 261387 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Inc2163326240803

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. Kennetra Bradshaw allows following entities to bill medicare on her behalf.
Provider NameSummit Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1750343216
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

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. Kennetra Bradshaw 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
Kennetra Bradshaw, RD
35 Plymouth Ln,
Elsmere, KY 41018-2717

Ph: Not Available		Kennetra Bradshaw, RD
1500 James Simpson Jr Way,
Covington, KY 41011-0801

Ph: (859) 655-8910

Reviews and Comments


Dietitian, Registered in Covington, KY

Mrs. Chelsea Grace Potter, MS, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 3854 Alex Ct Apt 5, Covington, KY 41017
Phone: 606-495-0633    
Mrs. Briana L. Vitucci, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-8910    
Rae Elizagaray, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-8910    Fax: 859-655-8911
Grace Anne Lubbe, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-8910    Fax: 859-655-8911
Brenda Sis, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-8910    Fax: 859-655-8911
Jessica Flesch,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 103 E 3rd St Apt 606, Covington, KY 41011
Phone: 859-663-5050    
Brianna Powell, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-8910    Fax: 859-655-8911

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.