Katherine Ann Keith, MD is a medicare enrolled "Internal Medicine" physician in Berrien Springs, Michigan. She went to Loma Linda University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Lakeland Medical Practices and her current practice location is
9045 Us Highway 31, Berrien Springs, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 473-2222.
Katherine Ann Keith is licensed to practice in Michigan (license number 4301081055) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104806116.
Physician's Profile
| Full Name | Katherine Ann Keith |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 25 Years |
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| Location | 9045 Us Highway 31, Berrien Springs, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katherine Ann Keith attended and graduated from Loma Linda University School Of Medicine in 1999
NPI Data:
- NPI Number: 1104806116
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 11/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 0345290987
- Enrollment ID: I20050131001022
Medical Identifiers
Medical identifiers for Katherine Ann Keith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104806116 | NPI | - | NPPES |
| 1902086689 | Other | MI | GROUP NPI |
| P17270001 | Other | MI | MEDICARE INDIVIDUAL PTAN |
| 104694670 | Medicaid | MI | |
| 700A146860 | Other | MI | BCBSM GROUP PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4301081055 (Michigan) | Primary |
| 208000000X | Pediatrics | 4301081055 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeland Medical Practices | 1658427042 | 260 |
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. Katherine Ann Keith allows following entities to bill medicare on her behalf.
| Entity Name | Lakeland Medical Practices |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216 |
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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. Katherine Ann Keith 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 |
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Katherine Ann Keith, MD
9045 Us Highway 31,
Berrien Springs, MI 49103-1804
Ph: (269) 473-2222 | Katherine Ann Keith, MD
9045 Us Highway 31,
Berrien Springs, MI 49103-1804
Ph: (269) 473-2222 |
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