Keshia Brooke Hackworth, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Oakwood, Virginia. Her current practice location is
8243 Riverside Dr, Oakwood, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 498-3446.
Keshia Brooke Hackworth is licensed to practice in Virginia (license number 0024187385) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013694959.
Provider's Profile
| Full Name | Keshia Brooke Hackworth |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8243 Riverside Dr, Oakwood, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013694959
- Provider Enumeration Date: 07/03/2023
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284097536
- Enrollment ID: I20230905000114
Medical Identifiers
Medical identifiers for Keshia Brooke Hackworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013694959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0024187385 (Virginia) | 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. Keshia Brooke Hackworth allows following entities to bill medicare on her behalf.
| Entity Name | Buchanan General Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508920273
PECOS PAC ID: 4688581663
Enrollment ID: O20040722000099 |
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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. Keshia Brooke Hackworth 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 |
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Keshia Brooke Hackworth, FNP-BC
828 Kennedy Dr,
Pounding Mill, VA 24637-3678
Ph: (276) 210-7549 | Keshia Brooke Hackworth, FNP-BC
8243 Riverside Dr,
Oakwood, VA 24631-8973
Ph: (276) 498-3446 |
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