Dr Shayne S Keddy, DO - Medicare Pain Medicine in Potosi, MO

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Dr Shayne S Keddy, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Potosi, Missouri. His current practice location is 24 Southtowne Dr, Potosi, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 438-3737.

Dr Shayne S Keddy is licensed to practice in Missouri (license number 2001016005) 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 1861465627.

Contact Information

Dr Shayne S Keddy, DO
24 Southtowne Dr,
Potosi, MO 63664-5729
(573) 438-3737
Not Available

Map and Direction




Physician's Profile

Full NameDr Shayne S Keddy
GenderMale
SpecialityPain Medicine - Pain Medicine
Location24 Southtowne Dr, Potosi, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861465627
  • Provider Enumeration Date: 02/10/2006
  • Last Update Date: 12/17/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0446202873
  • Enrollment ID: I20050215000019

Medical Identifiers

Medical identifiers for Dr Shayne S Keddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861465627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2001016005 (Missouri)Secondary
208VP0000XPain Medicine - Pain Medicine 2001016005 (Missouri)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 Shayne S Keddy allows following entities to bill medicare on his behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285664177
PECOS PAC ID: 3779479019
Enrollment ID: O20040224001164
Entity NameMercy Hospital Jefferson
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508859661
PECOS PAC ID: 1254248271
Enrollment ID: O20050518000926
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameCare Management Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730588674
PECOS PAC ID: 3274755145
Enrollment ID: O20150107000100
Entity NameMercy Hospital Lincoln
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962808733
PECOS PAC ID: 5193040020
Enrollment ID: O20150623002541
Entity NamePotosi Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881075349
PECOS PAC ID: 0648588541
Enrollment ID: O20150925001293
Entity NameMercy Hospital Perry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063117158
PECOS PAC ID: 1153777826
Enrollment ID: O20231101001515
Entity NameMercy Hospital Perry
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1063117158
PECOS PAC ID: 1153777826
Enrollment ID: O20231106001433

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 Shayne S Keddy 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 AddressPractice Location Address
Dr Shayne S Keddy, DO
610 Sumpter Dr,
Farmington, MO 63640-7749

Ph: (573) 747-3365		Dr Shayne S Keddy, DO
24 Southtowne Dr,
Potosi, MO 63664-5729

Ph: (573) 438-3737

Reviews and Comments


Pain Medicine Doctors in Potosi, MO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.