Ms Keivan Dirin, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in Maitland, Florida. Her current practice location is
800 N Maitland Ave Ste 101, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 660-7150.
Ms Keivan Dirin is licensed to practice in Florida (license number ARNP2998642) 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 1275059339.
Physician's Profile
Full Name | Ms Keivan Dirin |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 800 N Maitland Ave Ste 101, Maitland, Florida |
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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: 1275059339
- Provider Enumeration Date: 08/20/2017
- Last Update Date: 02/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284989773
- Enrollment ID: I20180625002986
Medical Identifiers
Medical identifiers for Ms Keivan Dirin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275059339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN2998642 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | ARNP2998642 (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. Ms Keivan Dirin allows following entities to bill medicare on her behalf.
Entity Name | Physician Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336137280 PECOS PAC ID: 0244135093 Enrollment ID: O20031204000591 |
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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. Ms Keivan Dirin 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 |
Ms Keivan Dirin, NURSE PRACTITIONER 800 N Maitland Ave Ste 101, Maitland, FL 32751-4499 Ph: (407) 660-7150 | Ms Keivan Dirin, NURSE PRACTITIONER 800 N Maitland Ave Ste 101, Maitland, FL 32751-4499 Ph: (407) 660-7150 |
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