Keenan David Atwood, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Temple, Texas. His current practice location is
2401 S 31st St, Temple, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 724-9425.
Keenan David Atwood is licensed to practice in * (Not Available) (license number ) 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 1588083356.
Physician's Profile
Full Name | Keenan David Atwood |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2401 S 31st St, Temple, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588083356
- Provider Enumeration Date: 04/09/2014
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214295914
- Enrollment ID: I20240620003378
Medical Identifiers
Medical identifiers for Keenan David Atwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588083356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | R3469 (Texas) | Secondary |
2083A0100X | Preventive Medicine - Aerospace Medicine | 28887 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Keenan David Atwood 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 |
Keenan David Atwood, 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-9425 | Keenan David Atwood, 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-9425 |
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