Kathryn Moore Keathley, APRN in Greendale, IN

Kathryn Moore Keathley, APRN is a medicare enrolled "Nurse Practitioner" in Greendale, Indiana. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group, Inc, Summit Medical Group, Inc and her current practice location is 1640 Flossie Dr, Greendale, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 496-3290.

Kathryn Moore Keathley is licensed to practice in Kentucky (license number 3009737) 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 1649642406.

Contact Information

	Kathryn Moore Keathley, APRN
	1640 Flossie Dr, Greendale, IN 47025-8424
	(812) 496-3290
	(812) 537-0400

Map and Direction

Provider's Profile

Full Name	Kathryn Moore Keathley
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1640 Flossie Dr, Greendale, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathryn Moore Keathley graduated from nursing school in 2015

NPI Data:

NPI Number: 1649642406
Provider Enumeration Date: 10/20/2015
Last Update Date: 04/21/2020

Medicare PECOS Information:

PECOS PAC ID: 7012227838
Enrollment ID: I20151106001981

Medical Identifiers

Medical identifiers for Kathryn Moore Keathley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649642406	NPI	-	NPPES
7100379650	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3009737 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	3009737 (Kentucky)	Primary
363L00000X	Nurse Practitioner	71007956A (Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Elizabeth Edgewood	Edgewood, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group, Inc	2163326240	712
Summit Medical Group, Inc	2163326240	712

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. Kathryn Moore Keathley allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738

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. Kathryn Moore Keathley 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
Kathryn Moore Keathley, APRN Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 757-0434	Kathryn Moore Keathley, APRN 1640 Flossie Dr, Greendale, IN 47025-8424 Ph: (812) 496-3290

Reviews and Comments

Nurse Practitioner Nurses in Greendale, IN

Sharon Walsh-hart, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1640 Flossie Dr, Greendale, IN 47025 Phone: 812-496-3285
Ms. Lesley Jo Allen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1640 Flossie Dr, Greendale, IN 47025 Phone: 812-496-3285 Fax: 812-537-0400
Suzanne E. Perkins, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1640 Flossie Dr, Greendale, IN 47025 Phone: 812-496-3285 Fax: 812-537-0400
Katie M Davis, APRN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1640 Flossie Dr, Greendale, IN 47025 Phone: 877-670-7264 Fax: 812-539-1824
Alyssa Hobbs, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17525 Greendale Plaza Dr, Greendale, IN 47025 Phone: 859-301-4000 Fax: 859-301-4001
Ashley Meadows, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1640 Flossie Dr, Greendale, IN 47025 Phone: 859-301-5901 Fax: 859-301-5940

Kathryn Moore Keathley, APRN - Medicare Nurse Practitioner in Greendale, IN