Ms Antwanette Lakeisha Keys, MSN, APRN, FNP-C is a medicare enrolled "Registered Nurse" in Drew, Mississippi. Her current practice location is
221 W Park Ave, Drew, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 588-9618.
Ms Antwanette Lakeisha Keys is licensed to practice in Tennessee (license number 235216) 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 1508572926.
Provider's Profile
Full Name | Ms Antwanette Lakeisha Keys |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 221 W Park Ave, Drew, Mississippi |
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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: 1508572926
- Provider Enumeration Date: 01/30/2023
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032568266
- Enrollment ID: I20231213000125
Medical Identifiers
Medical identifiers for Ms Antwanette Lakeisha Keys such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508572926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 33484 (Tennessee) | Secondary |
363L00000X | Nurse Practitioner | 905875 (Mississippi) | Secondary |
163W00000X | Registered Nurse | 235216 (Tennessee) | 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. Ms Antwanette Lakeisha Keys allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
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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. Ms Antwanette Lakeisha Keys 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 |
Ms Antwanette Lakeisha Keys, MSN, APRN, FNP-C 221 W Park Ave, Drew, MS 38737-3345 Ph: (662) 588-9618 | Ms Antwanette Lakeisha Keys, MSN, APRN, FNP-C 221 W Park Ave, Drew, MS 38737-3345 Ph: (662) 588-9618 |
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