Keea M Wesley, MD in Gallup, NM - Medicare Pediatrics

Keea M Wesley, MD is a medicare enrolled "Pediatrics" physician in Gallup, New Mexico. Her current practice location is 516 East Nizhoni Blvd., Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Keea M Wesley is licensed to practice in Michigan (license number 4301091320) 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 1821275819.

Contact Information

	Keea M Wesley, MD
	516 East Nizhoni Blvd., Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1268

Map and Direction

Physician's Profile

Full Name	Keea M Wesley
Gender	Female
Speciality	Pediatrics
Location	516 East Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821275819
Provider Enumeration Date: 01/22/2008
Last Update Date: 03/02/2017

Medicare PECOS Information:

PECOS PAC ID: 7517189699
Enrollment ID: I20141104002311

Medical Identifiers

Medical identifiers for Keea M Wesley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821275819	NPI	-	NPPES
KW091320	Other	MI	4301091320

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301091320 (Michigan)	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. Keea M Wesley allows following entities to bill medicare on her behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Keea M Wesley 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
Keea M Wesley, MD 516 East Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000	Keea M Wesley, MD 516 East Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Pediatrics Doctors in Gallup, NM

Dr. Carlos Manuel De Sanctis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Ramona V. Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Dr. John Edward Ratmeyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Michelle Stam-maclaren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2111 College Drive, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-1820
Janet M Li-tempest, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Gary A Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1397
Dr. Gayle Ann Harrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820 Fax: 505-863-1898

Keea M Wesley, MD - Medicare Pediatrics in Gallup, NM