Micayla Keen, DPT is a medicare enrolled "Physical Therapist" provider in Sale Creek, Tennessee. Her current practice location is
14821 Dayton Pike Ste D, Sale Creek, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 269-6496.
Micayla Keen is licensed to practice in Tennessee (license number 14989) 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 1477236156.
Healthcare Provider's Profile
| Full Name | Micayla Keen |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 14821 Dayton Pike Ste D, Sale Creek, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477236156
- Provider Enumeration Date: 08/09/2023
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537522263
- Enrollment ID: I20230829002726
Medical Identifiers
Medical identifiers for Micayla Keen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477236156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 14989 (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. Micayla Keen allows following entities to bill medicare on her behalf.
| Provider Name | Agilitas Usa Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20041115000337 |
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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. Micayla Keen 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 |
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Micayla Keen, DPT
1200 Corporate Dr Ste 400,
Hoover, AL 35242-5424
Ph: () - | Micayla Keen, DPT
14821 Dayton Pike Ste D,
Sale Creek, TN 37373-5752
Ph: (423) 269-6496 |
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