Keith Henry, ARNP-FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Fredericksburg, Virginia. His current practice location is
5825 Plank Rd Ste 105, Fredericksburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 785-3448.
Keith Henry is licensed to practice in Virginia (license number 0024177706) 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 1467012120.
Physician's Profile
Full Name | Keith Henry |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 5825 Plank Rd Ste 105, Fredericksburg, Virginia |
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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: 1467012120
- Provider Enumeration Date: 06/15/2019
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385058379
- Enrollment ID: I20210203000887
Medical Identifiers
Medical identifiers for Keith Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467012120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0024177706 (North Carolina) | Secondary |
208000000X | Pediatrics | 0024177706 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024177706 (Virginia) | 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. Keith Henry allows following entities to bill medicare on his behalf.
Entity Name | Emergency Medicine Associates Pa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
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Entity Name | Primary And Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316018781 PECOS PAC ID: 6305836784 Enrollment ID: O20040517000978 |
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Entity Name | Virginia Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487838652 PECOS PAC ID: 2062572456 Enrollment ID: O20081114000363 |
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Entity Name | Dlp Twin County Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962078527 PECOS PAC ID: 7214199512 Enrollment ID: O20120503000011 |
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Entity Name | Atlantic Knee Restoration & Regenerative Medicine - Richmond |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093387748 PECOS PAC ID: 3375940422 Enrollment ID: O20210916001793 |
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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. Keith Henry 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 |
Keith Henry, ARNP-FNP 5825 Plank Rd Ste 105, Fredericksburg, VA 22407-5207 Ph: (540) 785-3448 | Keith Henry, ARNP-FNP 5825 Plank Rd Ste 105, Fredericksburg, VA 22407-5207 Ph: (540) 785-3448 |
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