Matthew Keathley, DNP, FNP-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Union City, Tennessee. His current practice location is
1109 E Reelfoot Ave, Union City, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 599-9575.
Matthew Keathley is licensed to practice in * (Not Available) (license number ) 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 1396581526.
Provider's Profile
| Full Name | Matthew Keathley |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1109 E Reelfoot Ave, Union City, Tennessee |
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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: 1396581526
- Provider Enumeration Date: 07/08/2024
- Last Update Date: 07/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193257509
- Enrollment ID: I20241010000198
Medical Identifiers
Medical identifiers for Matthew Keathley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396581526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 36728 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Matthew Keathley allows following entities to bill medicare on his behalf.
| Entity Name | Stern Cardiovascular Foundation, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316242266
PECOS PAC ID: 8123200540
Enrollment ID: O20110310000278 |
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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. Matthew Keathley 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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Matthew Keathley, DNP, FNP-C
874 Union Ave Rm 325,
Memphis, TN 38103-3514
Ph: () - | Matthew Keathley, DNP, FNP-C
1109 E Reelfoot Ave,
Union City, TN 38261-5856
Ph: (731) 599-9575 |
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