Jean I Keddissi, MD in Oklahoma City, OK - Medicare Internal Medicine

Jean I Keddissi, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Oklahoma City, Oklahoma. His current practice location is 825 Ne 10th St, Oupb 2500, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-7001.

Jean I Keddissi is licensed to practice in Oklahoma (license number 20091) 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 1568430718.

Contact Information

	Jean I Keddissi, MD
	825 Ne 10th St, Oupb 2500, Oklahoma City, OK 73104-5417
	(405) 271-7001
	Not Available

Map and Direction

Physician's Profile

Full Name	Jean I Keddissi
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	825 Ne 10th St, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568430718
Provider Enumeration Date: 03/12/2006
Last Update Date: 07/03/2008

Medicare PECOS Information:

PECOS PAC ID: 2264461169
Enrollment ID: I20050811000138

Medical Identifiers

Medical identifiers for Jean I Keddissi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568430718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	20091 (Oklahoma)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	20091 (Oklahoma)	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. Jean I Keddissi allows following entities to bill medicare on his behalf.

Entity Name	Board Of Regents Of The University Of Oklahoma - Ou Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607

Entity Name	Ou Health Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618

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. Jean I Keddissi 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
Jean I Keddissi, MD 1122 Ne 13th St, Ori 236, Oklahoma City, OK 73117-1039 Ph: (405) 271-1515	Jean I Keddissi, MD 825 Ne 10th St, Oupb 2500, Oklahoma City, OK 73104-5417 Ph: (405) 271-7001

Reviews and Comments

Internal Medicine Doctors in Oklahoma City, OK

Evelyn Lorents, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Patrick Bronson Reeves, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448
Dr. Jake Lee Evans, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Shawn Patel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104 Phone: 405-271-5211
Metri Haddaden, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184
Divya Sharma Divyadarshini, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Philip Barton Miner, Jr., M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296

Jean I Keddissi, MD - Medicare Internal Medicine in Oklahoma City, OK