Kellen Byrne, - Medicare Nurse Practitioner in Spokane, WA

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Kellen Byrne, is a medicare enrolled "Nurse Practitioner - Family" physician in Spokane, Washington. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629782511.

Contact Information

Kellen Byrne,
26 E 5th Ave,
Spokane, WA 99202-1309
(509) 444-8200
Not Available

Map and Direction




Physician's Profile

Full NameKellen Byrne
GenderMale
SpecialityNurse Practitioner - Family
Location26 E 5th Ave, Spokane, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629782511
  • Provider Enumeration Date: 01/06/2023
  • Last Update Date: 12/18/2023
  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.
IdentifierTypeStateIssuer
1629782511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine AP61386726 (Washington)Secondary
363LF0000XNurse Practitioner - Family AP61386726 (Washington)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. Kellen Byrne allows following entities to bill medicare on his behalf.
Entity NameIdeal Option Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457788275
PECOS PAC ID: 6709013105
Enrollment ID: O20131210001184
Entity NameIdeal Telemedicine Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346754868
PECOS PAC ID: 2860726221
Enrollment ID: O20190716002000

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 AddressPractice Location Address
Kellen Byrne,
3919 N Maple St,
Spokane, WA 99205-1349

Ph: (509) 444-8200		Kellen Byrne,
26 E 5th Ave,
Spokane, WA 99202-1309

Ph: (509) 444-8200

Reviews and Comments



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.