Keore Mckenzie, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Jacksonville, Florida. Her current practice location is
841 Prudential Dr Ste 280, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 202-8550.
Keore Mckenzie is licensed to practice in Florida (license number APRN9362346) 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 1649823311.
Physician's Profile
| Full Name | Keore Mckenzie |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 841 Prudential Dr Ste 280, Jacksonville, Florida |
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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: 1649823311
- Provider Enumeration Date: 07/22/2019
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355670951
- Enrollment ID: I20190906002296
Medical Identifiers
Medical identifiers for Keore Mckenzie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649823311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | APRN9362346 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN9362346 (Florida) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN9362346 (Florida) | 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. Keore Mckenzie allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Specialty Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407226228
PECOS PAC ID: 3375597313
Enrollment ID: O20171220001665 |
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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. Keore Mckenzie 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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Keore Mckenzie, APRN
Po Box 746645,
Atlanta, GA 30374-6645
Ph: (904) 202-2092 | Keore Mckenzie, APRN
841 Prudential Dr Ste 280,
Jacksonville, FL 32207-8350
Ph: (904) 202-8550 |
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