Dr Elizabeth Tannahill Glen Keymer, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Jacksonville, Florida. Her current practice location is
1301 Palm Ave Ste 4a017, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 376-3800.
Dr Elizabeth Tannahill Glen Keymer is licensed to practice in Florida (license number PY6757) 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 1336256353.
Healthcare Provider's Profile
| Full Name | Dr Elizabeth Tannahill Glen Keymer |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1301 Palm Ave Ste 4a017, Jacksonville, Florida |
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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: 1336256353
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072687649
- Enrollment ID: I20080730000407
Medical Identifiers
Medical identifiers for Dr Elizabeth Tannahill Glen Keymer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336256353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PY6757 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY6757 (Florida) | 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. Dr Elizabeth Tannahill Glen Keymer allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215906649
PECOS PAC ID: 7315166394
Enrollment ID: O20140924001767 |
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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. Dr Elizabeth Tannahill Glen Keymer 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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Dr Elizabeth Tannahill Glen Keymer, PSYD
Po Box 748519,
Atlanta, GA 30374-8519
Ph: (904) 376-3800 | Dr Elizabeth Tannahill Glen Keymer, PSYD
1301 Palm Ave Ste 4a017,
Jacksonville, FL 32207-8432
Ph: (904) 376-3800 |
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