Keely Shaye Page, is a medicare enrolled "Social Worker" provider in Eureka, California. Her current practice location is
720 Wood St, Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(707) 268-2990.
Keely Shaye Page is licensed to practice in California (license number 114687) 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 1558915918.
Healthcare Provider's Profile
Full Name | Keely Shaye Page |
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Gender | Female |
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Speciality | Social Worker |
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Location | 720 Wood St, Eureka, California |
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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: 1558915918
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507210812
- Enrollment ID: I20230920002192
Medical Identifiers
Medical identifiers for Keely Shaye Page such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558915918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 114687 (California) | Secondary |
104100000X | Social Worker | 114687 (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. Keely Shaye Page allows following entities to bill medicare on her behalf.
Entity Name | County Of Humboldt |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871676213 PECOS PAC ID: 4082516950 Enrollment ID: O20040121001146 |
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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. Keely Shaye Page 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 |
Keely Shaye Page, 720 Wood St, Eureka, CA 95501-4413 Ph: (707) 268-2990 | Keely Shaye Page, 720 Wood St, Eureka, CA 95501-4413 Ph: (707) 268-2990 |
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