Misty R Keith, MFTA in Louisville, KY - Medicare Counselor Provider

Misty R Keith, MFTA is a medicare enrolled "Counselor" provider in Louisville, Kentucky. Her current practice location is 12700 Townepark Way Ste 337, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 203-5901.

Misty R Keith is licensed to practice in Kentucky (license number 263894) 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 1114541521.

Contact Information

	Misty R Keith, MFTA
	12700 Townepark Way Ste 337, Louisville, KY 40243-2556
	(502) 203-5901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Misty R Keith
Gender	Female
Speciality	Counselor
Location	12700 Townepark Way Ste 337, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114541521
Provider Enumeration Date: 06/01/2020
Last Update Date: 06/01/2020

Medicare PECOS Information:

PECOS PAC ID: 3678910577
Enrollment ID: I20240327003572

Medical Identifiers

Medical identifiers for Misty R Keith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114541521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	263894 (Kentucky)	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. Misty R Keith allows following entities to bill medicare on her behalf.

Entity Name	Abundant Mercy Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194593707 PECOS PAC ID: 8123465028 Enrollment ID: O20240327003439

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. Misty R Keith 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
Misty R Keith, MFTA 12700 Townepark Way Ste 337, Louisville, KY 40243-2556 Ph: (502) 203-5901	Misty R Keith, MFTA 12700 Townepark Way Ste 337, Louisville, KY 40243-2556 Ph: (502) 203-5901

Reviews and Comments

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Misty R Keith, MFTA - Medicare Counselor in Louisville, KY