Mrs Elizabeth Keane, PA is a medicare enrolled "Physician Assistant - Medical" in Sound Beach, New York. Her current practice location is
25 Hollis Dr, Sound Beach, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 538-9209.
Mrs Elizabeth Keane is licensed to practice in New York (license number 025532) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043824816.
Provider's Profile
Full Name | Mrs Elizabeth Keane |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 25 Hollis Dr, Sound Beach, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043824816
- Provider Enumeration Date: 08/31/2020
- Last Update Date: 08/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 6103230735
- Enrollment ID: I20210122000551
Medical Identifiers
Medical identifiers for Mrs Elizabeth Keane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043824816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 025532 (New York) | 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. Mrs Elizabeth Keane 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 |
Mrs Elizabeth Keane, PA 25 Hollis Dr, Sound Beach, NY 11789-1629 Ph: (917) 538-9209 | Mrs Elizabeth Keane, PA 25 Hollis Dr, Sound Beach, NY 11789-1629 Ph: (917) 538-9209 |
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