Mrs Angela Marie Keeton, RN is a medicare enrolled "Nurse Practitioner - Family" physician in Dayton, Ohio. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is
425 W Grand Ave Ste 3002, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 723-4231.
Mrs Angela Marie Keeton is licensed to practice in Ohio (license number APRN.CNP.022204) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770099889.
Physician's Profile
| Full Name | Mrs Angela Marie Keeton |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 425 W Grand Ave Ste 3002, Dayton, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Angela Marie Keeton graduated from medical school in 2017
NPI Data:
- NPI Number: 1770099889
- Provider Enumeration Date: 12/27/2017
- Last Update Date: 08/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365704129
- Enrollment ID: I20180315001398
Medical Identifiers
Medical identifiers for Mrs Angela Marie Keeton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770099889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | RN346912 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.022204 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kettering Independent Medical Group Inc | 3173710936 | 577 |
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. Mrs Angela Marie Keeton allows following entities to bill medicare on her behalf.
| Entity Name | Alliance Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529 |
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| Entity Name | Main Street Family Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093864035
PECOS PAC ID: 6002889706
Enrollment ID: O20040819000258 |
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| Entity Name | Kettering Independent Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425 |
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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. Mrs Angela Marie Keeton 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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Mrs Angela Marie Keeton, RN
1 Prestige Pl Ste 550,
Miamisburg, OH 45342-6115
Ph: (937) 762-1310 | Mrs Angela Marie Keeton, RN
425 W Grand Ave Ste 3002,
Dayton, OH 45405-4722
Ph: (937) 723-4231 |
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