Danika Rae Keenom, is a medicare enrolled "Counselor - Professional" provider in Chapel Hill, Tennessee. Her current practice location is
310 N Horton Pkwy, Chapel Hill, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 790-0567.
Danika Rae Keenom is licensed to practice in Tennessee (license number 3812) 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 1093957557.
Healthcare Provider's Profile
Full Name | Danika Rae Keenom |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 310 N Horton Pkwy, Chapel Hill, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093957557
- Provider Enumeration Date: 03/30/2009
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496190357
- Enrollment ID: I20240301000310
Medical Identifiers
Medical identifiers for Danika Rae Keenom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093957557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 3812 (Tennessee) | 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. Danika Rae Keenom allows following entities to bill medicare on her behalf.
Entity Name | Mercy Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952480501 PECOS PAC ID: 3971760133 Enrollment ID: O20120131000668 |
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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. Danika Rae Keenom 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 |
Danika Rae Keenom, 143 Se Parkway Ct, Franklin, TN 37064-3968 Ph: (615) 790-0567 | Danika Rae Keenom, 310 N Horton Pkwy, Chapel Hill, TN 37034-3302 Ph: (615) 790-0567 |
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