Dr Kelly Patrick Keough, DC - Medicare Chiropractor in Grand Terrace, CA

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Dr Kelly Patrick Keough, DC is a medicare enrolled "Chiropractor" provider in Grand Terrace, California. His current practice location is 12139 Mount Vernon Ave Ste 100, Grand Terrace, California. You can reach out to his office (for appointments etc.) via phone at (909) 783-4950.

Dr Kelly Patrick Keough is licensed to practice in California (license number 13815) 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 1407886153.

Contact Information

Dr Kelly Patrick Keough, DC
12139 Mount Vernon Ave Ste 100,
Grand Terrace, CA 92313-5519
(909) 783-4950
(909) 783-1008

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Patrick Keough
GenderMale
SpecialityChiropractor
Location12139 Mount Vernon Ave Ste 100, Grand Terrace, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407886153
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 11/04/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1759358807
  • Enrollment ID: I20040917000274

Medical Identifiers

Medical identifiers for Dr Kelly Patrick Keough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407886153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 13815 (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. Dr Kelly Patrick Keough allows following entities to bill medicare on his behalf.
Provider NameKeough Chiropractic, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1104026913
PECOS PAC ID: 4789651829
Enrollment ID: O20040916000792

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. Dr Kelly Patrick Keough 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
Dr Kelly Patrick Keough, DC
1944 Country Club Dr,
Redlands, CA 92373-7306

Ph: (909) 793-5700		Dr Kelly Patrick Keough, DC
12139 Mount Vernon Ave Ste 100,
Grand Terrace, CA 92313-5519

Ph: (909) 783-4950

Reviews and Comments


Chiropractor in Grand Terrace, CA

Keough Chiropractic, Inc
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 12139 Mount Vernon Ave Ste 100, Grand Terrace, CA 92313
Phone: 909-783-4950    Fax: 909-783-1008
Dr. Richard Trujillo, DC
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 12139 Mount Vernon Ave Ste 100, Grand Terrace, CA 92313
Phone: 909-783-4950    
Dr. Gilbert Nmn Hernandez Jr., D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 22448 Barton Rd, Grand Terrace, CA 92313
Phone: 909-370-1564    Fax: 909-370-0564
Dr. Zakari Larbi Bissani, DC
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 12139 Mount Vernon Ave Ste 100, Grand Terrace, CA 92313
Phone: 720-989-0890    

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.