Kathleen Annette Keogh, RN, CNP - Medicare Nurse Practitioner in Saint Paul, MN

Kathleen Annette Keogh, RN, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Saint Paul, Minnesota. Her current practice location is 1055 Westgate Dr, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 635-9173.

Kathleen Annette Keogh is licensed to practice in Minnesota (license number R117190-9) 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 1013067610.

Contact Information

Kathleen Annette Keogh, RN, CNP
1055 Westgate Dr,
Saint Paul, MN 55114-1065
(651) 635-9173
(612) 262-7989

Map and Direction




Provider's Profile

Full NameKathleen Annette Keogh
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location1055 Westgate Dr, Saint Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013067610
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 04/29/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9537118765
  • Enrollment ID: I20050114000390

Medical Identifiers

Medical identifiers for Kathleen Annette Keogh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013067610NPI-NPPES
1027328-00MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology R117190-9 (Minnesota)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. Kathleen Annette Keogh allows following entities to bill medicare on her behalf.
Entity NameMedica Health Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750655882
PECOS PAC ID: 5092944140
Enrollment ID: O20140212001201

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. Kathleen Annette Keogh 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 AddressPractice Location Address
Kathleen Annette Keogh, RN, CNP
16183 Tahinka Pl Nw,
Prior Lake, MN 55372-1850

Ph: () -
Kathleen Annette Keogh, RN, CNP
1055 Westgate Dr,
Saint Paul, MN 55114-1065

Ph: (651) 635-9173

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.