Mrs Keitha Gayle Reckord, MSN, APRN, FNP-BC in Bronx, NY

Mrs Keitha Gayle Reckord, MSN, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. Her current practice location is 111 E 210th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 920-4321.

Mrs Keitha Gayle Reckord is licensed to practice in New York (license number 349591) 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 1225757859.

Contact Information

	Mrs Keitha Gayle Reckord, MSN, APRN, FNP-BC
	111 E 210th St, Bronx, NY 10467-2401
	(718) 920-4321
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Keitha Gayle Reckord
Gender	Female
Speciality	Nurse Practitioner - Family
Location	111 E 210th St, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225757859
Provider Enumeration Date: 08/25/2022
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 8426429770
Enrollment ID: I20230124001154

Medical Identifiers

Medical identifiers for Mrs Keitha Gayle Reckord such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225757859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	349591 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	349591 (New York)	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 Keitha Gayle Reckord allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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 Keitha Gayle Reckord 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 Keitha Gayle Reckord, MSN, APRN, FNP-BC 1 Pin Oak Ln, Ansonia, CT 06401-2731 Ph: (718) 559-7497	Mrs Keitha Gayle Reckord, MSN, APRN, FNP-BC 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4321

Reviews and Comments

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Mrs Keitha Gayle Reckord, MSN, APRN, FNP-BC - Medicare Nurse Practitioner in Bronx, NY