Keith J Harkins, MD is a medicare enrolled "Emergency Medicine" physician in Hillsboro, Ohio. His current practice location is
1275 N High St, Hillsboro, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 393-6100.
Keith J Harkins is licensed to practice in Ohio (license number 35061943) 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 1265410716.
Physician's Profile
| Full Name | Keith J Harkins |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1275 N High St, Hillsboro, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265410716
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 11/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 0345343869
- Enrollment ID: I20070321000130
Medical Identifiers
Medical identifiers for Keith J Harkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265410716 | NPI | - | NPPES |
| 000000552748 | Other | OH | ANTHEM BCBS |
| 000000552749 | Other | OH | ANTHEM BCBS PIKE |
| 0865925 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 35061943 (Ohio) | 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 J Harkins allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Professional Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864 |
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| Entity Name | Ohio Emergency Professionals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982983425
PECOS PAC ID: 0547433328
Enrollment ID: O20111024000785 |
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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 J Harkins 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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Keith J Harkins, MD
4750 Hempstead Station Dr,
Kettering, OH 45429-5164
Ph: (800) 875-0136 | Keith J Harkins, MD
1275 N High St,
Hillsboro, OH 45133-8273
Ph: (937) 393-6100 |
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