Dr Shannon Michelle Keil, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Bryan, Ohio. Her current practice location is
433 W High St, Bryan, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 636-1131.
Dr Shannon Michelle Keil is licensed to practice in Ohio (license number 35-087274) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487627220.
Physician's Profile
| Full Name | Dr Shannon Michelle Keil |
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| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 433 W High St, Bryan, Ohio |
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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: 1487627220
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5496766511
- Enrollment ID: I20060605000117
Medical Identifiers
Medical identifiers for Dr Shannon Michelle Keil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487627220 | NPI | - | NPPES |
| N/A | Other | | N/A |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35-087274 (Ohio) | 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 Shannon Michelle Keil allows following entities to bill medicare on her behalf.
| Entity Name | Greater Cincinnati Pathologists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407844657
PECOS PAC ID: 9032011630
Enrollment ID: O20040123000619 |
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| Entity Name | Associated Pathologists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619957933
PECOS PAC ID: 1759307614
Enrollment ID: O20051020000019 |
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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 Shannon Michelle Keil 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 Shannon Michelle Keil, MD
433 W High St,
Bryan, OH 43506-1690
Ph: () - | Dr Shannon Michelle Keil, MD
433 W High St,
Bryan, OH 43506-1690
Ph: (419) 636-1131 |
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