Dr Allyson Renee Keathley, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Oklahoma City, Oklahoma. Her current practice location is
1200 Childrens Ave, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 271-4417.
Dr Allyson Renee Keathley is licensed to practice in Oklahoma (license number ) 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 1235713058.
Physician's Profile
Full Name | Dr Allyson Renee Keathley |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1200 Childrens Ave, Oklahoma City, Oklahoma |
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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: 1235713058
- Provider Enumeration Date: 05/07/2021
- Last Update Date: 11/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961933981
- Enrollment ID: I20241002000239
Medical Identifiers
Medical identifiers for Dr Allyson Renee Keathley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235713058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 38210 (Oklahoma) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Oklahoma) | 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. Dr Allyson Renee Keathley 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 |
Dr Allyson Renee Keathley, MD 1200 Childrens Ave, Oklahoma City, OK 73104-4637 Ph: (405) 271-4417 | Dr Allyson Renee Keathley, MD 1200 Childrens Ave, Oklahoma City, OK 73104-4637 Ph: (405) 271-4417 |
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