Keyshone D Pirtle, APRN-CNP in El Cajon, CA - Medicare Nurse Practitioner

Keyshone D Pirtle, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in El Cajon, California. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Brenton D. Wynn, Md Inc, Sycuan Tribal Government and his current practice location is 5442 Sycuan Rd, El Cajon, California. You can reach out to his office (for appointments etc.) via phone at (619) 445-0707.

Keyshone D Pirtle is licensed to practice in Nevada (license number 833097) 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 1417567827.

Contact Information

	Keyshone D Pirtle, APRN-CNP
	5442 Sycuan Rd, El Cajon, CA 92019-1816
	(619) 445-0707
	(619) 445-0988

Map and Direction

Provider's Profile

Full Name	Keyshone D Pirtle
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	5442 Sycuan Rd, El Cajon, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keyshone D Pirtle graduated from nursing school in 2020

NPI Data:

NPI Number: 1417567827
Provider Enumeration Date: 08/01/2020
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 9537579966
Enrollment ID: I20210324001762

Medical Identifiers

Medical identifiers for Keyshone D Pirtle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417567827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	833097 (Nevada)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brenton D. Wynn, Md Inc	1759321086	3
Sycuan Tribal Government	3971687799	4

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. Keyshone D Pirtle allows following entities to bill medicare on his behalf.

Entity Name	Brenton D. Wynn, Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598953960 PECOS PAC ID: 1759321086 Enrollment ID: O20050505001146

Entity Name	Sycuan Tribal Government
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427197078 PECOS PAC ID: 3971687799 Enrollment ID: O20160811000319

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. Keyshone D Pirtle 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
Keyshone D Pirtle, APRN-CNP 10065 Oak Creek Canyon Ave, Las Vegas, NV 89147-8054 Ph: (702) 581-4711	Keyshone D Pirtle, APRN-CNP 5442 Sycuan Rd, El Cajon, CA 92019-1816 Ph: (619) 445-0707

Reviews and Comments

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Keyshone D Pirtle, APRN-CNP - Medicare Nurse Practitioner in El Cajon, CA