Theresa Keane, PHD, NPP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Tucson, Arizona. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Easter Seals Blake Foundation and her current practice location is
7750 E Broadway Blvd Ste A100, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 327-1529.
Theresa Keane is licensed to practice in New York (license number F401198) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811191414.
Healthcare Provider's Profile
Full Name | Theresa Keane |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 17 Years |
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Location | 7750 E Broadway Blvd Ste A100, Tucson, Arizona |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Theresa Keane attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2008
NPI Data:
- NPI Number: 1811191414
- Provider Enumeration Date: 06/14/2007
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062609993
- Enrollment ID: I20171128003788
Medical Identifiers
Medical identifiers for Theresa Keane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811191414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 011974-1 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F401198 (New York) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Easter Seals Blake Foundation | 9335302710 | 6 |
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. Theresa Keane allows following entities to bill medicare on her behalf.
Entity Name | Escalera Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487146171 PECOS PAC ID: 1951650985 Enrollment ID: O20180823002099 |
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Entity Name | Easter Seals Blake Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548781487 PECOS PAC ID: 9335302710 Enrollment ID: O20220217001894 |
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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. Theresa Keane 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 |
Theresa Keane, PHD, NPP 97 Grace Way, Olivebridge, NY 12461-5236 Ph: (917) 453-3684 | Theresa Keane, PHD, NPP 7750 E Broadway Blvd Ste A100, Tucson, AZ 85710-3901 Ph: (520) 327-1529 |
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