Mrs Carol Keidan, MA LLP is a medicare enrolled "Marriage & Family Therapist" provider in Bloomfield Hills, Michigan. Her current practice location is
43996 Woodward Ave, Bloomfield Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 338-2988.
Mrs Carol Keidan is licensed to practice in Michigan (license number 4101005340) 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 1003852005.
Healthcare Provider's Profile
Full Name | Mrs Carol Keidan |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 43996 Woodward Ave, Bloomfield Hills, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003852005
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0547612434
- Enrollment ID: I20240116003356
Medical Identifiers
Medical identifiers for Mrs Carol Keidan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003852005 | NPI | - | NPPES |
0007336430 | Other | MI | AETNA |
181269 | Other | MA | COMPSYCH |
028363 | Other | MI | VAL OPT/MCARE/BCN |
0911419 | Other | MI | BLUE CHOICE/MAGELLAN/V.O |
0913419 | Other | MI | BC MESSA |
5266701 | Other | MI | AETNA |
7509104190 | Other | MI | BCBS |
130958 | Other | MI | CARE CHOICES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301005602 (Michigan) | Primary |
103TF0000X | Psychologist - Family | 4101005340 (Michigan) | Primary |
106H00000X | Marriage & Family Therapist | 4101005340 (Michigan) | 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. Mrs Carol Keidan 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 |
Mrs Carol Keidan, MA LLP 1800 W Lincoln St, Birmingham, MI 48009-1834 Ph: () - | Mrs Carol Keidan, MA LLP 43996 Woodward Ave, Bloomfield Hills, MI 48302-5028 Ph: (248) 338-2988 |
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