Mr Mateland Lestery Keith Iii, PMHNP-ABC in Venice, FL

Mr Mateland Lestery Keith Iii, PMHNP-ABC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Venice, Florida. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Dna Comprehensive Therapy Services Llc and his current practice location is 421 Commercial Ct Ste B, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 244-4377.

Mr Mateland Lestery Keith Iii is licensed to practice in Florida (license number 11013737) 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 1457964843.

Contact Information

	Mr Mateland Lestery Keith Iii, PMHNP-ABC
	421 Commercial Ct Ste B, Venice, FL 34292-1656
	(941) 244-4377
	(941) 445-4186

Map and Direction

Provider's Profile

Full Name	Mr Mateland Lestery Keith Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	421 Commercial Ct Ste B, Venice, Florida
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:

Mr Mateland Lestery Keith Iii graduated from nursing school in 2021

NPI Data:

NPI Number: 1457964843
Provider Enumeration Date: 08/26/2020
Last Update Date: 09/02/2021

Medicare PECOS Information:

PECOS PAC ID: 3072901529
Enrollment ID: I20211102002403

Medical Identifiers

Medical identifiers for Mr Mateland Lestery Keith Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457964843	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	28243714A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11013737 (Florida)	Primary
163WA0400X	Registered Nurse - Addiction (substance Use Disorder)	28243714A (Indiana)	Secondary
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	28243714A (Indiana)	Secondary
163WP0808X	Registered Nurse - Psychiatric/mental Health	28243714A (Indiana)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dna Comprehensive Therapy Services Llc	2860619632	208

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 Mateland Lestery Keith Iii allows following entities to bill medicare on his behalf.

Entity Name	Dna Comprehensive Therapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276

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 Mateland Lestery Keith Iii 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 Mateland Lestery Keith Iii, PMHNP-ABC 421 Commercial Ct Ste B, Venice, FL 34292-1656 Ph: (941) 244-4377	Mr Mateland Lestery Keith Iii, PMHNP-ABC 421 Commercial Ct Ste B, Venice, FL 34292-1656 Ph: (941) 244-4377

Reviews and Comments

Nurse Practitioner Nurses in Venice, FL

Felicia Carnevale, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524 Fax: 941-244-9526
Destinee Renee Ogea, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 Phone: 941-207-5350 Fax: 941-207-5352
Kristy L Petersen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 The Rialto, Venice, FL 34285 Phone: 941-486-6927 Fax: 941-486-6931
Judy Humphreys, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1287 Us Highway 41byp S, Venice, FL 34237 Phone: 941-244-5706 Fax: 941-800-4342
Ms. Kathryn S Collins, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Jacaranda Blvd, Venice, FL 34292 Phone: 844-366-9362
Agata Wawro, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524
Cynthia Beth Gamble, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Nokomis Ave S Ste 207, Venice, FL 34285 Phone: 941-486-6790 Fax: 941-486-6795

Mr Mateland Lestery Keith Iii, PMHNP-ABC - Medicare Nurse Practitioner in Venice, FL