Kylie A Conner, REGISTERED DIETITIAN is a medicare enrolled "Dietitian, Registered" provider in Grover Beach, California. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
1503 Saratoga Ave Apt A, Grover Beach, California. You can reach out to her office (for appointments etc.) via phone at
(805) 458-0271.
Kylie A Conner is licensed to practice in California (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1932867108.
Healthcare Provider's Profile
| Full Name | Kylie A Conner |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 4 Years |
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| Location | 1503 Saratoga Ave Apt A, Grover Beach, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kylie A Conner graduated from medical school in 2021
NPI Data:
- NPI Number: 1932867108
- Provider Enumeration Date: 12/03/2021
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678090669
- Enrollment ID: I20250502001830
Medical Identifiers
Medical identifiers for Kylie A Conner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932867108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (California) | 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. Kylie A Conner allows following entities to bill medicare on her behalf.
| Provider Name | Northern Nutrition Group Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740754472
PECOS PAC ID: 3577937275
Enrollment ID: O20230321000155 |
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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. Kylie A Conner 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 |
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Kylie A Conner, REGISTERED DIETITIAN
1503 Saratoga Ave Apt A,
Grover Beach, CA 93433-1896
Ph: (805) 458-0271 | Kylie A Conner, REGISTERED DIETITIAN
1503 Saratoga Ave Apt A,
Grover Beach, CA 93433-1896
Ph: (805) 458-0271 |
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