Eileen F Keane, PNP - Nurse Practitioner in New Haven, CT

Eileen F Keane, PNP is a Nurse Practitioner - Pediatrics based in New Haven, Connecticut. Eileen F Keane is licensed to practice in Connecticut (license number 6169) and her current practice location is 374 Grand Ave, New Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 777-7411.

NPI number for Eileen F Keane is 1962413401 and her current mailing address is 374 Grand Ave, New Haven, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962413401.

Contact Information

Eileen F Keane, PNP
374 Grand Ave,
New Haven, CT 06513-3733
(203) 777-7411
(203) 777-8506

Map and Direction




Provider's Profile

Full NameEileen F Keane
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location374 Grand Ave, New Haven, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962413401
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 11/29/2018

Medical Identifiers

Medical identifiers for Eileen F Keane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962413401NPI-NPPES
NP9903OtherMABCBS
Y10141OtherMABCBS-GROUP
1300709MedicaidMA
56780OtherMAFALLON SELECT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 006169 (Connecticut)Secondary
363LP0200XNurse Practitioner - Pediatrics 6169 (Connecticut)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. Eileen F Keane is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eileen F Keane, PNP
374 Grand Ave,
New Haven, CT 06513-3733

Ph: (203) 777-7411
Eileen F Keane, PNP
374 Grand Ave,
New Haven, CT 06513-3733

Ph: (203) 777-7411

Reviews and Comments


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