Ms Sara Elizabeth Wallace-keeshen, FNP-BC - Nurse Practitioner in Philadelphia, PA

Ms Sara Elizabeth Wallace-keeshen, FNP-BC is a Nurse Practitioner - Primary Care based in Philadelphia, Pennsylvania. Ms Sara Elizabeth Wallace-keeshen is licensed to practice in Pennsylvania (license number SP027631) and her current practice location is 2144 Cecil B Moore Ave, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (215) 320-6187.

NPI number for Ms Sara Elizabeth Wallace-keeshen is 1407540602 and her current mailing address is 2650 Agate St, Philadelphia, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407540602.

Contact Information

Ms Sara Elizabeth Wallace-keeshen, FNP-BC
2144 Cecil B Moore Ave,
Philadelphia, PA 19121-4014
(215) 320-6187
Not Available

Map and Direction




Provider's Profile

Full NameMs Sara Elizabeth Wallace-keeshen
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location2144 Cecil B Moore Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407540602
  • Provider Enumeration Date: 06/08/2023
  • Last Update Date: 06/08/2023

Medical Identifiers

Medical identifiers for Ms Sara Elizabeth Wallace-keeshen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407540602NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care SP027631 (Pennsylvania)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. Ms Sara Elizabeth Wallace-keeshen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Sara Elizabeth Wallace-keeshen, FNP-BC
2650 Agate St,
Philadelphia, PA 19125-2302

Ph: (864) 275-4820
Ms Sara Elizabeth Wallace-keeshen, FNP-BC
2144 Cecil B Moore Ave,
Philadelphia, PA 19121-4014

Ph: (215) 320-6187

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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