Matthew Keathley, DNP, FNP-C is a
Student In An Organized Health Care Education/training Program based in Union City, Tennessee. Matthew Keathley is licensed to practice in * (Not Available) (license number ) and his current practice location is
1109 E Reelfoot Ave, Union City, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 599-9575.
NPI number for Matthew Keathley is 1396581526 and his current mailing address is 874 Union Ave Rm 325, Memphis, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396581526.
Provider's Profile
| Full Name | Matthew Keathley |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1109 E Reelfoot Ave, Union City, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396581526
- Provider Enumeration Date: 07/08/2024
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Matthew Keathley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396581526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 36728 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Matthew Keathley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
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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