Mr Keith Alan Deardorff, in Colorado Springs, CO

Mr Keith Alan Deardorff, is a medicare enrolled "Nurse Practitioner - Family" in Colorado Springs, Colorado. His current practice location is 4763 Poleplant Dr, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (850) 305-4495.

Mr Keith Alan Deardorff is licensed to practice in Ohio (license number COA.14807.NP) 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 1801131057.

Contact Information

	Mr Keith Alan Deardorff,
	4763 Poleplant Dr, Colorado Springs, CO 80918-5255
	(850) 305-4495
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Keith Alan Deardorff
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4763 Poleplant Dr, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801131057
Provider Enumeration Date: 11/29/2012
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 2062717028
Enrollment ID: I20220315000979

Medical Identifiers

Medical identifiers for Mr Keith Alan Deardorff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801131057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0996683-NP (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	COA.14807.NP (Ohio)	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. Mr Keith Alan Deardorff allows following entities to bill medicare on his behalf.

Entity Name	Transtreme Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003290453 PECOS PAC ID: 9739574039 Enrollment ID: O20221018003006

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. Mr Keith Alan Deardorff 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
Mr Keith Alan Deardorff, 4763 Poleplant Dr, Colorado Springs, CO 80918-5255 Ph: (850) 305-4495	Mr Keith Alan Deardorff, 4763 Poleplant Dr, Colorado Springs, CO 80918-5255 Ph: (850) 305-4495

Reviews and Comments

Nurse Practitioner Nurses in Colorado Springs, CO

Barbara J Starkey, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Swope Ave, Colorado Springs, CO 80909 Phone: 719-634-4746 Fax: 719-634-5024
Melinda Mcclendon, RN, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 405, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 512-275-2833
Jennifer Turnbaugh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3425 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-265-4412 Fax: 719-888-1739
Erika Wittler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4284 N Academy Blvd, Colorado Springs, CO 80918 Phone: 719-623-3068
Patricia Dianne Didier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 565 Space Center Dr, Colorado Springs, CO 80915 Phone: 719-638-5000
Sonia Singh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-7000
Carole Traylor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6071 E. Woodmen Rd, Suite 105, Colorado Springs, CO 80923 Phone: 719-597-8704 Fax: 719-597-6864

Mr Keith Alan Deardorff, - Medicare Nurse Practitioner in Colorado Springs, CO