Mrs Keirsten Lee, NP is a medicare enrolled "Nurse Practitioner - Family" in Mabelvale, Arkansas. Her current practice location is
1321 Edingburgh Dr, Mabelvale, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(901) 288-6336.
Mrs Keirsten Lee is licensed to practice in Arkansas (license number 221267) 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 1306570346.
Provider's Profile
| Full Name | Mrs Keirsten Lee |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1321 Edingburgh Dr, Mabelvale, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306570346
- Provider Enumeration Date: 07/14/2022
- Last Update Date: 07/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800260811
- Enrollment ID: I20230314002322
Medical Identifiers
Medical identifiers for Mrs Keirsten Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306570346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 221267 (Arkansas) | 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. Mrs Keirsten Lee allows following entities to bill medicare on her behalf.
| Entity Name | Urgent Team Of Arkansas Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992041370
PECOS PAC ID: 1850539198
Enrollment ID: O20130529000209 |
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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 Keirsten Lee 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 Keirsten Lee, NP
1321 Edingburgh Dr,
Mabelvale, AR 72103-8774
Ph: (901) 288-6336 | Mrs Keirsten Lee, NP
1321 Edingburgh Dr,
Mabelvale, AR 72103-8774
Ph: (901) 288-6336 |
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