Richard Mark Keedy, FNP in San Diego, CA - Medicare Nurse Practitioner

Richard Mark Keedy, FNP is a medicare enrolled "Nurse Practitioner" in San Diego, California. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pacific Emergency Providers A Prof Corp and his current practice location is 4077 Fifth Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 260-7000.

Richard Mark Keedy is licensed to practice in California (license number NP12804) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265460695.

Contact Information

	Richard Mark Keedy, FNP
	4077 Fifth Ave, San Diego, CA 92103-2105
	(619) 260-7000
	(619) 260-7050

Map and Direction

Provider's Profile

Full Name	Richard Mark Keedy
Gender	Male
Speciality	Nurse Practitioner
Experience	23 Years
Location	4077 Fifth Ave, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Richard Mark Keedy graduated from nursing school in 2001

NPI Data:

NPI Number: 1265460695
Provider Enumeration Date: 06/28/2006
Last Update Date: 06/27/2008

Medicare PECOS Information:

PECOS PAC ID: 0941219562
Enrollment ID: I20060410000622

Medical Identifiers

Medical identifiers for Richard Mark Keedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265460695	NPI	-	NPPES
RN534557	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP12804 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Scripps Mercy Hospital	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific Emergency Providers A Prof Corp	1557327608	34

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. Richard Mark Keedy allows following entities to bill medicare on his behalf.

Entity Name	Pacific Emergency Providers A Prof Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497790539 PECOS PAC ID: 1557327608 Enrollment ID: O20041209000658

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. Richard Mark Keedy 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
Richard Mark Keedy, FNP Po Box 662110, Arcadia, CA 91066-2110 Ph: (626) 447-0296	Richard Mark Keedy, FNP 4077 Fifth Ave, San Diego, CA 92103-2105 Ph: (619) 260-7000

Reviews and Comments

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Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Richard Mark Keedy, FNP - Medicare Nurse Practitioner in San Diego, CA