Keith A Egly, is a medicare enrolled "Nurse Practitioner - Family" in Churubusco, Indiana. His current practice location is
8415 State Road 205, Churubusco, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 417-2775.
Keith A Egly is licensed to practice in West Virginia (license number 110355) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790451730.
Provider's Profile
| Full Name | Keith A Egly |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 8415 State Road 205, Churubusco, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keith A Egly attended and graduated from in
NPI Data:
- NPI Number: 1790451730
- Provider Enumeration Date: 08/19/2021
- Last Update Date: 08/19/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Keith A Egly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790451730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 110355 (West Virginia) | 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. Keith A Egly 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 |
|---|
Keith A Egly,
8415 State Road 205,
Churubusco, IN 46723-9234
Ph: (260) 417-2775 | Keith A Egly,
8415 State Road 205,
Churubusco, IN 46723-9234
Ph: (260) 417-2775 |
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