Mr Michael Dennis Keith, APRN, LCAC is a
Nurse Practitioner - Psychiatric/mental Health based in Lake City, Florida. Mr Michael Dennis Keith is licensed to practice in Kansas (license number 45764) and his current practice location is
619 S Marion Ave, Lake City, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 755-3016.
NPI number for Mr Michael Dennis Keith is 1649612060 and his current mailing address is 619 S Marion Ave, Lake City, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649612060.
Healthcare Provider's Profile
Full Name | Mr Michael Dennis Keith |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 619 S Marion Ave, Lake City, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649612060
- Provider Enumeration Date: 07/26/2013
- Last Update Date: 06/29/2023
Medical Identifiers
Medical identifiers for Mr Michael Dennis Keith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649612060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 191 (Kansas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 45764 (Kansas) | Primary |
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. Mr Michael Dennis Keith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Michael Dennis Keith, APRN, LCAC 619 S Marion Ave, Lake City, FL 32025-5808 Ph: (386) 755-3016 | Mr Michael Dennis Keith, APRN, LCAC 619 S Marion Ave, Lake City, FL 32025-5808 Ph: (386) 755-3016 |
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