Keegan Wood, PMHNP in Los Angeles, CA - Medicare Nurse Practitioner

Keegan Wood, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. His current practice location is 1625 Schrader Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 993-7400.

Keegan Wood is licensed to practice in California (license number 95006887) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417471459.

Contact Information

	Keegan Wood, PMHNP
	1625 Schrader Blvd, Los Angeles, CA 90028-6213
	(323) 993-7400
	Not Available

Map and Direction

Provider's Profile

Full Name	Keegan Wood
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1625 Schrader Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417471459
Provider Enumeration Date: 08/01/2017
Last Update Date: 08/01/2017

Medicare PECOS Information:

PECOS PAC ID: 7315208816
Enrollment ID: I20180226000755

Medical Identifiers

Medical identifiers for Keegan Wood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417471459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95006887 (California)	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. Keegan Wood allows following entities to bill medicare on his behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

Entity Name	Los Angeles Lgbt Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548298532 PECOS PAC ID: 8729975453 Enrollment ID: O20040227001020

Entity Name	Mental Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760431670 PECOS PAC ID: 8628019320 Enrollment ID: O20050512000474

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 Wood 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
Keegan Wood, PMHNP 1630 E 2nd St Apt 10, Long Beach, CA 90802-5956 Ph: (310) 963-2285	Keegan Wood, PMHNP 1625 Schrader Blvd, Los Angeles, CA 90028-6213 Ph: (323) 993-7400

Reviews and Comments

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Keegan Wood, PMHNP - Medicare Nurse Practitioner in Los Angeles, CA