Keiya Terrell, in Eureka, CA - Medicare Nurse Practitioner

Keiya Terrell, is a medicare enrolled "Nurse Practitioner - Adult Health" in Eureka, California. Her current practice location is 2752 Harrison Ave Ste A, Eureka, California. You can reach out to her office (for appointments etc.) via phone at (707) 443-4869.

Keiya Terrell is licensed to practice in Georgia (license number 196094) 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 1548880750.

Contact Information

	Keiya Terrell,
	2752 Harrison Ave Ste A, Eureka, CA 95501-4738
	(707) 443-4869
	(707) 442-5095

Map and Direction

Provider's Profile

Full Name	Keiya Terrell
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	2752 Harrison Ave Ste A, Eureka, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548880750
Provider Enumeration Date: 04/17/2020
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3870915754
Enrollment ID: I20200623001075

Medical Identifiers

Medical identifiers for Keiya Terrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548880750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	196094 (Georgia)	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. Keiya Terrell allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Keiya Terrell 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
Keiya Terrell, Po Box 491641, Lawrenceville, GA 30049-0028 Ph: () -	Keiya Terrell, 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 Ph: (707) 443-4869

Reviews and Comments

Nurse Practitioner Nurses in Eureka, CA

Elizabeth Wachtel O'brien, CNM, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Walford Ave, Suite B, Eureka, CA 95503 Phone: 707-445-3443 Fax: 707-445-1848
Rachel Hatchimonji, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Harrison Ave, Eureka, CA 95501 Phone: 707-443-9371
Ms. Suzanne Dietz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054
Kathy Sattler, RN , FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327
Kabou Xiong, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250
Marice Thomas, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327
Ms. Susan Blankenhorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990

Keiya Terrell, - Medicare Nurse Practitioner in Eureka, CA