Kelsey Shawn Keane, in Oakland, CA - Medicare Counselor Provider

Kelsey Shawn Keane, is a medicare enrolled "Counselor - Mental Health" provider in Oakland, California. Her current practice location is 747 52nd St, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (925) 209-1861.

Kelsey Shawn Keane is licensed to practice in * (Not Available) (license number ) 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 1174017131.

Contact Information

	Kelsey Shawn Keane,
	747 52nd St, Oakland, CA 94609-1809
	(925) 209-1861
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Shawn Keane
Gender	Female
Speciality	Counselor - Mental Health
Location	747 52nd St, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174017131
Provider Enumeration Date: 06/21/2018
Last Update Date: 06/03/2021

Medicare PECOS Information:

PECOS PAC ID: 8820486244
Enrollment ID: I20211103002202

Medical Identifiers

Medical identifiers for Kelsey Shawn Keane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174017131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Kelsey Shawn Keane allows following entities to bill medicare on her behalf.

Entity Name	Spread Your Wings For Mental Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760969539 PECOS PAC ID: 1355680273 Enrollment ID: O20190311001711

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. Kelsey Shawn Keane 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
Kelsey Shawn Keane, 747 52nd St, Oakland, CA 94609-1809 Ph: () -	Kelsey Shawn Keane, 747 52nd St, Oakland, CA 94609-1809 Ph: (925) 209-1861

Reviews and Comments

Counselor in Oakland, CA

Mr. Macheo Kahil Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9736 Lawlor St, Oakland, CA 94605 Phone: 510-562-1052
Michele Mabry Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 30th St, #314, Oakland, CA 94609 Phone: 510-273-4200
Ms. Shadavia France, Counselor Medicare: Medicare Enrolled Practice Location: 510 16th St, Oakland, CA 94612 Phone: 818-815-7180
Mr. James Kaufman, MFT INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 Oakland Ave, Ste C, Oakland, CA 94611 Phone: 415-786-1537 Fax: 208-361-2286
Savannah Rose O'neill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10850 Macarthur Blvd, Oakland, CA 94605 Phone: 510-875-2300 Fax: 510-875-2310
Miss Julianna Kristina Dragos, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Fairmount Ave, Oakland, CA 94611 Phone: 510-839-3769
Thuyminh Nguyen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 40th St, Oakland, CA 94609 Phone: 510-653-5040 Fax: 510-653-6475

Kelsey Shawn Keane, - Medicare Counselor in Oakland, CA