Dr Edwin Keeshan, MD is a medicare enrolled "Family Medicine" physician in Montauk, New York. His current practice location is
679 Montauk Hwy, Montauk, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 668-3705.
Dr Edwin Keeshan is licensed to practice in New York (license number 287227) 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 1649692690.
Physician's Profile
| Full Name | Dr Edwin Keeshan |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 679 Montauk Hwy, Montauk, New York |
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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: 1649692690
- Provider Enumeration Date: 01/10/2014
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032496203
- Enrollment ID: I20170426001789
Medical Identifiers
Medical identifiers for Dr Edwin Keeshan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649692690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 287227 (New York) | 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. Dr Edwin Keeshan allows following entities to bill medicare on his behalf.
| Entity Name | Meeting House Lane Medical Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902088495
PECOS PAC ID: 6800972589
Enrollment ID: O20080326000089 |
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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. Dr Edwin Keeshan 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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Dr Edwin Keeshan, MD
4 Springville Rd Ste B,
Hampton Bays, NY 11946-2290
Ph: (631) 283-1123 | Dr Edwin Keeshan, MD
679 Montauk Hwy,
Montauk, NY 11954-5340
Ph: (631) 668-3705 |
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