Kelly Marie Bryan, DO - Medicare Pediatrics in Mankato, MN

Kelly Marie Bryan, DO is a medicare enrolled "Pediatrics" physician in Mankato, Minnesota. Her current practice location is 1421 Premier Dr, Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 389-8529.

Kelly Marie Bryan is licensed to practice in Minnesota (license number 67340) 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 1942732763.

Contact Information

Kelly Marie Bryan, DO
1421 Premier Dr,
Mankato, MN 56001-6076
(507) 389-8529
Not Available

Map and Direction




Physician's Profile

Full NameKelly Marie Bryan
GenderFemale
SpecialityPediatrics
Location1421 Premier Dr, Mankato, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942732763
  • Provider Enumeration Date: 03/30/2017
  • Last Update Date: 08/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416207188
  • Enrollment ID: I20200918000141

Medical Identifiers

Medical identifiers for Kelly Marie Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942732763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics R4609 (Kentucky)Secondary
208000000XPediatrics 67340 (Minnesota)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 Marie Bryan allows following entities to bill medicare on her behalf.
Entity NameMankato Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629044029
PECOS PAC ID: 5597677955
Enrollment ID: O20031104000231

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 Marie Bryan 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
Kelly Marie Bryan, DO
1421 Premier Dr,
Mankato, MN 56001-6076

Ph: (507) 389-8529
Kelly Marie Bryan, DO
1421 Premier Dr,
Mankato, MN 56001-6076

Ph: (507) 389-8529

Reviews and Comments


Pediatrics Doctors in Mankato, MN

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Darla J Wrage, MD
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Dr. Rachel L. Singh, M.D.
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Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    
Ebtihal Ahmed Mohamed Ahmed, MBBS
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Medicare: Medicare Enrolled
Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    

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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.

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