Dr Jacob William Keeling, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lone Tree, Colorado. His current practice location is
10099 Ridgegate Pkwy Ste 200, Lone Tree, Colorado. You can reach out to his office (for appointments etc.) via phone at
(720) 225-4464.
Dr Jacob William Keeling is licensed to practice in Colorado (license number TL.0009499) 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 1942861133.
Physician's Profile
Full Name | Dr Jacob William Keeling |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 10099 Ridgegate Pkwy Ste 200, Lone Tree, Colorado |
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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: 1942861133
- Provider Enumeration Date: 06/27/2019
- Last Update Date: 08/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799012894
- Enrollment ID: I20190813001098
Medical Identifiers
Medical identifiers for Dr Jacob William Keeling such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942861133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | TL.0009499 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | TL.0009499 (Colorado) | 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 Jacob William Keeling 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 Jacob William Keeling, MD 2500 Nw 19th St, Oklahoma City, OK 73107-3939 Ph: (580) 478-3155 | Dr Jacob William Keeling, MD 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5532 Ph: (720) 225-4464 |
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