Keith Vincent Mcinnerney, PA-C - Medicare Physician Assistant in Southlake, TX

Keith Vincent Mcinnerney, PA-C is a medicare enrolled "Physician Assistant - Medical" in Southlake, Texas. His current practice location is 630 N Kimball Ave Ste 100, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 421-8777.

Keith Vincent Mcinnerney is licensed to practice in Texas (license number PA09502) 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 1972901650.

Contact Information

Keith Vincent Mcinnerney, PA-C
630 N Kimball Ave Ste 100,
Southlake, TX 76092-6886
(817) 421-8777
Not Available

Map and Direction




Provider's Profile

Full NameKeith Vincent Mcinnerney
GenderMale
SpecialityPhysician Assistant - Medical
Location630 N Kimball Ave Ste 100, Southlake, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972901650
  • Provider Enumeration Date: 12/12/2014
  • Last Update Date: 03/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143545707
  • Enrollment ID: I20150203000651

Medical Identifiers

Medical identifiers for Keith Vincent Mcinnerney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972901650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 2585 (Oklahoma)Secondary
363AM0700XPhysician Assistant - Medical PA09502 (Texas)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 Vincent Mcinnerney 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 AddressPractice Location Address
Keith Vincent Mcinnerney, PA-C
630 N Kimball Ave Ste 100,
Southlake, TX 76092-6886

Ph: (817) 421-8777
Keith Vincent Mcinnerney, PA-C
630 N Kimball Ave Ste 100,
Southlake, TX 76092-6886

Ph: (817) 421-8777

Reviews and Comments


Physician Assistant Nurses in Southlake, TX

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Melissa Wedesky, PA-C
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Phone: 817-865-3564    
Kristi Lee West, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092
Phone: 682-885-6000    Fax: 682-885-6026

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.