Mellie Fay Keene, NP is a medicare enrolled "Nurse Practitioner - Family" provider in Atascadero, California. She went to Stanford University School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Department Of State Hospitals and her current practice location is
10333 El Camino Real, Atascadero, California. You can reach out to her office (for appointments etc.) via phone at
(805) 468-2188.
Mellie Fay Keene is licensed to practice in California (license number 95000496) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396865770.
Healthcare Provider's Profile
| Full Name | Mellie Fay Keene |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 10333 El Camino Real, Atascadero, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Mellie Fay Keene attended and graduated from Stanford University School Of Medicine in 2013
NPI Data:
- NPI Number: 1396865770
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 06/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 7810112174
- Enrollment ID: I20140701000939
Medical Identifiers
Medical identifiers for Mellie Fay Keene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396865770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC 26744 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95000496 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Department Of State Hospitals | 9638174238 | 198 |
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. Mellie Fay Keene allows following entities to bill medicare on her behalf.
| Provider Name | Community Health Centers Of The Central Coast Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336166248
PECOS PAC ID: 7416868120
Enrollment ID: O20040115001161 |
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| Provider Name | Pain Management Specialists Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265435416
PECOS PAC ID: 2860448685
Enrollment ID: O20050324000765 |
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| Provider Name | Department Of State Hospitals |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305 |
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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. Mellie Fay Keene 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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Mellie Fay Keene, NP
10333 El Camino Real,
Atascadero, CA 93422-5808
Ph: (805) 468-2000 | Mellie Fay Keene, NP
10333 El Camino Real,
Atascadero, CA 93422-5808
Ph: (805) 468-2188 |
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