Keeleigh Masters, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Fairfield, Ohio. She went to Ohio Medical University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mindfully Llc and her current practice location is
1251 Nilles Rd Ste 5, Fairfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(888) 830-0347.
Keeleigh Masters is licensed to practice in Ohio (license number I.1801241-SUPV) 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 1750734273.
Healthcare Provider's Profile
| Full Name | Keeleigh Masters |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 1251 Nilles Rd Ste 5, Fairfield, Ohio |
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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:
- Keeleigh Masters attended and graduated from Ohio Medical University in 2015
NPI Data:
- NPI Number: 1750734273
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 05/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092120964
- Enrollment ID: I20210226002548
Medical Identifiers
Medical identifiers for Keeleigh Masters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750734273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | I.1801241 (Ohio) | Secondary |
| 172V00000X | Community Health Worker | S.1600344 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1801241-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mindfully Llc | 3476606252 | 33 |
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. Keeleigh Masters allows following entities to bill medicare on her behalf.
| Entity Name | Mindfully Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972702520
PECOS PAC ID: 3476606252
Enrollment ID: O20090727000253 |
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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. Keeleigh Masters 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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Keeleigh Masters, LISW-S
5875 Louisville St,
Louisville, OH 44641-9437
Ph: (330) 205-9539 | Keeleigh Masters, LISW-S
1251 Nilles Rd Ste 5,
Fairfield, OH 45014-7205
Ph: (888) 830-0347 |
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