Cynthia Lynn Hollis-keene, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Walnut Grove, Missouri. Her current practice location is
10520 W Farm Road 60, Walnut Grove, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 268-7952.
Cynthia Lynn Hollis-keene is licensed to practice in Missouri (license number 2015003170) 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 1396067906.
Provider's Profile
Full Name | Cynthia Lynn Hollis-keene |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 10520 W Farm Road 60, Walnut Grove, Missouri |
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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: 1396067906
- Provider Enumeration Date: 02/23/2010
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587858212
- Enrollment ID: I20101027000345
Medical Identifiers
Medical identifiers for Cynthia Lynn Hollis-keene such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396067906 | NPI | - | NPPES |
1396067906 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 154542 (Missouri) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2015003170 (Missouri) | 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. Cynthia Lynn Hollis-keene 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 |
Cynthia Lynn Hollis-keene, PMHNP 10520 W Farm Road 60, Walnut Grove, MO 65770-2825 Ph: (417) 268-7952 | Cynthia Lynn Hollis-keene, PMHNP 10520 W Farm Road 60, Walnut Grove, MO 65770-2825 Ph: (417) 268-7952 |
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