Kellen Byrne, is a medicare enrolled "Nurse Practitioner - Family" physician in Spokane, Washington. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ideal Option Pllc and his current practice location is
26 E 5th Ave, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 444-8200.
Kellen Byrne is licensed to practice in Washington (license number AP61386726) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629782511.
Physician's Profile
| Full Name | Kellen Byrne |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 26 E 5th Ave, Spokane, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kellen Byrne graduated from medical school in 2022
NPI Data:
- NPI Number: 1629782511
- Provider Enumeration Date: 01/06/2023
- Last Update Date: 03/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698121978
- Enrollment ID: I20231023001676
Medical Identifiers
Medical identifiers for Kellen Byrne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629782511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | AP61386726 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP61386726 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ideal Option Pllc | 6709013105 | 94 |
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. Kellen Byrne allows following entities to bill medicare on his behalf.
| Entity Name | Ideal Option Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457788275
PECOS PAC ID: 6709013105
Enrollment ID: O20131210001184 |
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| Entity Name | Ideal Telemedicine Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346754868
PECOS PAC ID: 2860726221
Enrollment ID: O20190716002000 |
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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. Kellen Byrne 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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Kellen Byrne,
500 Sw 7th St Ste A205,
Renton, WA 98057-2983
Ph: (509) 222-1275 | Kellen Byrne,
26 E 5th Ave,
Spokane, WA 99202-1309
Ph: (509) 444-8200 |
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