Sherry Dianne Dekeyser, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ponte Vedra, Florida. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Serenity Tms Centers, Llc and her current practice location is
203 Fort Wade Rd Unit 260, Ponte Vedra, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 902-4408.
Sherry Dianne Dekeyser is licensed to practice in Florida (license number ME162610) 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 1518913540.
Physician's Profile
| Full Name | Sherry Dianne Dekeyser |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 23 Years |
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| Location | 203 Fort Wade Rd Unit 260, Ponte Vedra, Florida |
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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:
- Sherry Dianne Dekeyser graduated from medical school in 2001
NPI Data:
- NPI Number: 1518913540
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 04/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658384912
- Enrollment ID: I20240405003150
Medical Identifiers
Medical identifiers for Sherry Dianne Dekeyser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518913540 | NPI | - | NPPES |
| 0495341 | Medicaid | IA | |
| 20589 | Other | IA | WELLMARK BLUE CROSS BLUE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10690 (South Dakota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 36746 (Iowa) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 50674 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME162610 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Serenity Tms Centers, Llc | 0840550596 | 26 |
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. Sherry Dianne Dekeyser allows following entities to bill medicare on her behalf.
| Entity Name | Serenity Tms Centers, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710492095
PECOS PAC ID: 0840550596
Enrollment ID: O20240321002859 |
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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. Sherry Dianne Dekeyser 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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Sherry Dianne Dekeyser, MD
3300 N Triumph Blvd Ste 500,
Lehi, UT 84043-6475
Ph: (801) 821-2333 | Sherry Dianne Dekeyser, MD
203 Fort Wade Rd Unit 260,
Ponte Vedra, FL 32081-5159
Ph: (904) 902-4408 |
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