Dr Keenan Mahan, MD, MBA in Newton, MA - Medicare Emergency Medicine

Dr Keenan Mahan, MD, MBA is a medicare enrolled "Emergency Medicine" physician in Newton, Massachusetts. His current practice location is 2014 Washington St, Newton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 243-6193.

Dr Keenan Mahan is licensed to practice in Massachusetts (license number 290245) 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 1104387158.

Contact Information

	Dr Keenan Mahan, MD, MBA
	2014 Washington St, Newton, MA 02462-1607
	(617) 243-6193
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keenan Mahan
Gender	Male
Speciality	Emergency Medicine
Location	2014 Washington St, Newton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104387158
Provider Enumeration Date: 03/30/2019
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2062742059
Enrollment ID: I20230531001998

Medical Identifiers

Medical identifiers for Dr Keenan Mahan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104387158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	290245 (Massachusetts)	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 Keenan Mahan allows following entities to bill medicare on his behalf.

Entity Name	Newton Wellesley Emergency Medicine Specialist Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346355526 PECOS PAC ID: 7810983996 Enrollment ID: O20040423000237

Entity Name	Mass General Brigham Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083360200 PECOS PAC ID: 3971987108 Enrollment ID: O20230925000368

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 Keenan Mahan 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 Keenan Mahan, MD, MBA 2014 Washington St, Newton, MA 02462-1607 Ph: () -	Dr Keenan Mahan, MD, MBA 2014 Washington St, Newton, MA 02462-1607 Ph: (617) 243-6193

Reviews and Comments

Emergency Medicine Doctors in Newton, MA

Dr. Jill Zimmer Simon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6040 Fax: 617-243-6924
Mary Christine Bailey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington Street, Newton, MA 02462 Phone: 617-243-6040 Fax: 617-243-6924
David Hark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6192
Andrew Woods Ames, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6040 Fax: 617-243-6924
Lynanne Ballelli Morganstern, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Mckesson Corporation, 275 Grove Street, Suite 1 - 110, Newton, MA 02466 Phone: 617-273-2966
Barry J Tils, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 Phone: 617-243-6040

Dr Keenan Mahan, MD, MBA - Medicare Emergency Medicine in Newton, MA