Dr Edwin Keeshan, MD is a
Family Medicine physician based in Montauk, New York. Dr Edwin Keeshan is licensed to practice in New York (license number 287227) and his current practice location is 679 Montauk Hwy, Montauk, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 668-3705.
NPI number for Dr Edwin Keeshan is 1649692690 and his current mailing address is 4 Springville Rd Ste B, Hampton Bays, New York. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649692690
- Provider Enumeration Date: 01/10/2014
- Last Update Date: 12/05/2023
Medical Identifiers
Medical identifiers for Dr Edwin Keeshan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649692690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 287227 (New York) | 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 Edwin Keeshan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
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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