Raeellen K Keeney, is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. Her current practice location is
3132 Jefferson St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 683-3100.
Raeellen K Keeney is licensed to practice in California (license number LCSW74297) 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 1265779318.
Healthcare Provider's Profile
| Full Name | Raeellen K Keeney |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3132 Jefferson St, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265779318
- Provider Enumeration Date: 01/09/2013
- Last Update Date: 08/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 6406139245
- Enrollment ID: I20170202000008
Medical Identifiers
Medical identifiers for Raeellen K Keeney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265779318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW36965 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW74297 (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. Raeellen K Keeney allows following entities to bill medicare on her behalf.
| Entity Name | Telecare Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720164882
PECOS PAC ID: 6901820380
Enrollment ID: O20070614000167 |
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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. Raeellen K Keeney 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 |
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Raeellen K Keeney,
3132 Jefferson St,
San Diego, CA 92110-4421
Ph: (619) 683-3100 | Raeellen K Keeney,
3132 Jefferson St,
San Diego, CA 92110-4421
Ph: (619) 683-3100 |
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