Craig Michael Keanna, MD, FAAP in Wallingford, CT

Craig Michael Keanna, MD, FAAP is a medicare enrolled "Pediatrics" physician in Wallingford, Connecticut. His current practice location is 1062 Barnes Rd, Wallingford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 294-6328.

Craig Michael Keanna is licensed to practice in Connecticut (license number 034961) 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 1881635662.

Contact Information

	Craig Michael Keanna, MD, FAAP
	1062 Barnes Rd, Wallingford, CT 06492-6012
	(203) 294-6328
	Not Available

Map and Direction

Physician's Profile

Full Name	Craig Michael Keanna
Gender	Male
Speciality	Pediatrics
Location	1062 Barnes Rd, Wallingford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881635662
Provider Enumeration Date: 06/10/2006
Last Update Date: 02/16/2016

Medicare PECOS Information:

PECOS PAC ID: 6406927003
Enrollment ID: I20080625000014

Medical Identifiers

Medical identifiers for Craig Michael Keanna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881635662	NPI	-	NPPES
001349613	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	034961 (Connecticut)	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. Craig Michael Keanna allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Craig Michael Keanna 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
Craig Michael Keanna, MD, FAAP 1062 Barnes Rd, Wallingford, CT 06492-6012 Ph: (203) 294-6328	Craig Michael Keanna, MD, FAAP 1062 Barnes Rd, Wallingford, CT 06492-6012 Ph: (203) 294-6328

Reviews and Comments

Pediatrics Doctors in Wallingford, CT

Mrs. Lisa Marie Bankowski, RN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1062 Barnes Road, Suite 102, Wallingford, CT 06492 Phone: 203-294-6328 Fax: 203-294-6346
Dr. Steve M Frank, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 97 Barnes Road, Suite 6, Wallingford, CT 06492 Phone: 203-265-9890 Fax: 203-265-3321
Rochelle Turetsky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Gaylord Farms Rd., Wallingford, CT 06492 Phone: 203-284-2800 Fax: 203-679-3598
Allison J Beitel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 97 Barnes Road, Suite 6, Wallingford, CT 06492 Phone: 203-265-9890 Fax: 203-265-3321
Mrs. Kerline Vassell Klaus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1062 Barnes Road, Suite 102, Wallingford, CT 06492 Phone: 203-294-6328 Fax: 203-294-6346
Dr. Miriam Susan Cohen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 97 Barnes Rd, Ste 6, Wallingford, CT 06492 Phone: 203-753-6776 Fax: 203-573-1875
Dr. Vivian P Tsuei, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1062 Barnes Rd, Suite 102, Wallingford, CT 06492 Phone: 203-294-6328

Craig Michael Keanna, MD, FAAP - Medicare Pediatrics in Wallingford, CT