Mr Keith Michael Doubet, FNP-C in Galesburg, IL

Mr Keith Michael Doubet, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Galesburg, Illinois. His current practice location is 3375 N Seminary St, Galesburg, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 343-5114.

Mr Keith Michael Doubet is licensed to practice in Illinois (license number 209.026756) 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 1225735533.

Contact Information

	Mr Keith Michael Doubet, FNP-C
	3375 N Seminary St, Galesburg, IL 61401-1251
	(309) 343-5114
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Keith Michael Doubet
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3375 N Seminary St, Galesburg, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225735533
Provider Enumeration Date: 02/08/2023
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6103291208
Enrollment ID: I20230403001529

Medical Identifiers

Medical identifiers for Mr Keith Michael Doubet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225735533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.026756 (Illinois)	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 Michael Doubet allows following entities to bill medicare on his behalf.

Entity Name	St Mary Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420

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 Michael Doubet 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 Michael Doubet, FNP-C 1200 Hawcreek Rd, Gilson, IL 61436-9600 Ph: (309) 251-3380	Mr Keith Michael Doubet, FNP-C 3375 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 343-5114

Reviews and Comments

Nurse Practitioner Nurses in Galesburg, IL

Melissa Hajostek, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405
Sharon L Marguglio, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-5114
Jessica Logan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2779 Volunteer Dr Ste 201, Galesburg, IL 61401 Phone: 309-345-9400 Fax: 309-345-9401
Shannon L Egan, APRN,CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000
Mrs. Susie Marie Avery, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1887 Sunset Dr, Galesburg, IL 61401 Phone: 309-371-9300
Miss Monica Lynn Interial, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1377 W Main St, Galesburg, IL 61401 Phone: 773-641-8904
Bethany Mcgraw, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000

Mr Keith Michael Doubet, FNP-C - Medicare Nurse Practitioner in Galesburg, IL