Mrs Lacey Danielle Keeth, MSN, FNP-C in Vidalia, LA

Mrs Lacey Danielle Keeth, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Vidalia, Louisiana. Her current practice location is 1643 Carter Street, Suite #1, Vidalia, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 336-8707.

Mrs Lacey Danielle Keeth is licensed to practice in Louisiana (license number AP09734) 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 1679823090.

Contact Information

	Mrs Lacey Danielle Keeth, MSN, FNP-C
	1643 Carter Street, Suite #1, Vidalia, LA 71373
	(318) 336-8707
	(318) 336-8876

Map and Direction

Provider's Profile

Full Name	Mrs Lacey Danielle Keeth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1643 Carter Street, Vidalia, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679823090
Provider Enumeration Date: 09/12/2012
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 5698035707
Enrollment ID: I20180212000289

Medical Identifiers

Medical identifiers for Mrs Lacey Danielle Keeth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679823090	NPI	-	NPPES
2460561	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R872599 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	AP09734 (Louisiana)	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 Lacey Danielle Keeth allows following entities to bill medicare on her behalf.

Entity Name	Concordia Parish Hospital Service District Number One
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679513600 PECOS PAC ID: 4587559935 Enrollment ID: O20040216001076

Entity Name	Concordia Parish Hospital Service District Number One
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952565335 PECOS PAC ID: 4587559935 Enrollment ID: O20041012000111

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 Lacey Danielle Keeth 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 Lacey Danielle Keeth, MSN, FNP-C 1643 Carter Street, Suite #1, Vidalia, LA 71373 Ph: (318) 336-8707	Mrs Lacey Danielle Keeth, MSN, FNP-C 1643 Carter Street, Suite #1, Vidalia, LA 71373 Ph: (318) 336-8707

Reviews and Comments

Nurse Practitioner Nurses in Vidalia, LA

Arthuanna Plater, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Front St, Vidalia, LA 71373 Phone: 225-241-5515
Ruby Sharee Cooks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4319 Carter St, Vidalia, LA 71373 Phone: 318-414-2190
Mrs. Lisa Cazalot, APRN, FNP, C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Front St, Vidalia, LA 71373 Phone: 318-336-2216 Fax: 318-336-6095
Angela S Letard, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 Front Street, Vidalia, LA 71373 Phone: 318-336-2216 Fax: 318-336-6074
Shonte' Patrice Daniels, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Front St Ste 2134, Vidalia, LA 71373 Phone: 318-336-2212 Fax: 318-336-6067
Melissa Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1643 Carter St, Vidalia, LA 71373 Phone: 318-336-8707 Fax: 318-336-8776

Mrs Lacey Danielle Keeth, MSN, FNP-C - Medicare Nurse Practitioner in Vidalia, LA