Mikaela Hartzler Keating, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Robbinsdale, Minnesota. Her current practice location is
3300 Oakdale Ave N, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 520-5200.
Mikaela Hartzler Keating is licensed to practice in Minnesota (license number 14391) 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 1194423285.
Physician's Profile
Full Name | Mikaela Hartzler Keating |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 3300 Oakdale Ave N, Robbinsdale, Minnesota |
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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: 1194423285
- Provider Enumeration Date: 02/20/2023
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941675169
- Enrollment ID: I20230331000594
Medical Identifiers
Medical identifiers for Mikaela Hartzler Keating such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194423285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 14391 (Minnesota) | Secondary |
363AM0700X | Physician Assistant - Medical | 14391 (Minnesota) | 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. Mikaela Hartzler Keating 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 |
Mikaela Hartzler Keating, PA-C 750 Otto Ave Unit 2242, Saint Paul, MN 55102-5042 Ph: (651) 315-6190 | Mikaela Hartzler Keating, PA-C 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 520-5200 |
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