Keegan Ashley Hines, is a
Student In An Organized Health Care Education/training Program based in Yukon, Oklahoma. Keegan Ashley Hines is licensed to practice in * (Not Available) (license number ) and her current practice location is
4414 Amethyst Cir, Yukon, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 343-2032.
NPI number for Keegan Ashley Hines is 1225812308 and her current mailing address is 4414 Amethyst Cir, Yukon, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225812308.
Provider's Profile
| Full Name | Keegan Ashley Hines |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4414 Amethyst Cir, Yukon, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225812308
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Keegan Ashley Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225812308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Keegan Ashley Hines 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 Address | Practice Location Address |
|---|
Keegan Ashley Hines,
4414 Amethyst Cir,
Yukon, OK 73099-0715
Ph: (405) 343-2032 | Keegan Ashley Hines,
4414 Amethyst Cir,
Yukon, OK 73099-0715
Ph: (405) 343-2032 |
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