Mr Ryan James Keogh, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Lexington, Massachusetts. His current practice location is
125 Hartwell Ave, Lexington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 861-0890.
Mr Ryan James Keogh is licensed to practice in Massachusetts (license number RN2331463) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154664670.
Healthcare Provider's Profile
Full Name | Mr Ryan James Keogh |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 125 Hartwell Ave, Lexington, Massachusetts |
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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: 1154664670
- Provider Enumeration Date: 04/03/2013
- Last Update Date: 05/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123492998
- Enrollment ID: I20230317000134
Medical Identifiers
Medical identifiers for Mr Ryan James Keogh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154664670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2331463 (Massachusetts) | 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. Mr Ryan James Keogh allows following entities to bill medicare on his behalf.
Entity Name | Eliot Community Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679648182 PECOS PAC ID: 2062488000 Enrollment ID: O20040909001199 |
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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. Mr Ryan James Keogh 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 |
Mr Ryan James Keogh, RN 125 Hartwell Ave, Lexington, MA 02421-3100 Ph: (781) 861-0890 | Mr Ryan James Keogh, RN 125 Hartwell Ave, Lexington, MA 02421-3100 Ph: (781) 861-0890 |
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