Mamadi Keita, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Farmington, Connecticut. His current practice location is
263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 679-2000.
Mamadi Keita 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 1740727940.
Physician's Profile
Full Name | Mamadi Keita |
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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 | 263 Farmington Ave, Farmington, Connecticut |
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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: 1740727940
- Provider Enumeration Date: 01/25/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446522874
- Enrollment ID: I20170821001396
Medical Identifiers
Medical identifiers for Mamadi Keita such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740727940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0102X | Surgery - Surgical Critical Care | 125069718 (Illinois) | 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. Mamadi Keita 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 |
Mamadi Keita, MD 263 Farmington Ave, Farmington, CT 06030-1916 Ph: (860) 679-2147 | Mamadi Keita, MD 263 Farmington Ave, Farmington, CT 06030-3765 Ph: (860) 679-2000 |
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