Keisha Alix Hampden, is a medicare enrolled "Anesthesiology" in Jersey City, New Jersey. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice New Jersey Healthcare Specialists Pc and her current practice location is
355 Grand St, Jersey City, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 915-2000.
Keisha Alix Hampden is licensed to practice in Puerto Rico (license number 129950) 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 1992316707.
Provider's Profile
| Full Name | Keisha Alix Hampden |
|---|
| Gender | Female |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 5 Years |
|---|
| Location | 355 Grand St, Jersey City, New Jersey |
|---|
| 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:
- Keisha Alix Hampden graduated from nursing school in 2019
NPI Data:
- NPI Number: 1992316707
- Provider Enumeration Date: 08/14/2020
- Last Update Date: 05/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082020011
- Enrollment ID: I20210317000096
Medical Identifiers
Medical identifiers for Keisha Alix Hampden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992316707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 7855658 (New York) | Secondary |
| 207L00000X | Anesthesiology | 129950 (Puerto Rico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| New Jersey Healthcare Specialists Pc | 2668385253 | 540 |
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. Keisha Alix Hampden allows following entities to bill medicare on her behalf.
| Entity Name | New Jersey Healthcare Specialists Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1174585780
PECOS PAC ID: 2668385253
Enrollment ID: O20031110000555 |
|---|
| Entity Name | Prime Healthcare Services - St Mary's Passaic, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1730508250
PECOS PAC ID: 6305066911
Enrollment ID: O20141031000263 |
|---|
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. Keisha Alix Hampden 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 |
|---|
Keisha Alix Hampden,
309 Killough Cir,
Birmingham, AL 35215-6907
Ph: () - | Keisha Alix Hampden,
355 Grand St,
Jersey City, NJ 07302-4321
Ph: (201) 915-2000 |
Reviews and Comments