Dr Micah Judd Keeno, DO is a
Student In An Organized Health Care Education/training Program physician based in Raleigh, North Carolina. Dr Micah Judd Keeno is licensed to practice in * (Not Available) (license number ) and his current practice location is 3000 New Bern Ave, Raleigh, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 350-8000.
NPI number for Dr Micah Judd Keeno is 1487146692 and his current mailing address is 1337 Camargo Ln, Raleigh, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487146692.
Physician's Profile
| Full Name | Dr Micah Judd Keeno |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3000 New Bern Ave, Raleigh, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487146692
- Provider Enumeration Date: 06/04/2018
- Last Update Date: 06/27/2022
Medical Identifiers
Medical identifiers for Dr Micah Judd Keeno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487146692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 34.015270 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Micah Judd Keeno 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 Micah Judd Keeno, DO
1337 Camargo Ln,
Raleigh, NC 27604-5431
Ph: (801) 722-5223 | Dr Micah Judd Keeno, DO
3000 New Bern Ave,
Raleigh, NC 27610-1231
Ph: (919) 350-8000 |
Reviews and Comments