Jean I Keddissi, MD - Medicare Internal Medicine in Oklahoma City, OK

Jean I Keddissi, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Oklahoma City, Oklahoma. His current practice location is 825 Ne 10th St, Oupb 2500, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-7001.

Jean I Keddissi is licensed to practice in Oklahoma (license number 20091) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568430718.

Contact Information

Jean I Keddissi, MD
825 Ne 10th St, Oupb 2500,
Oklahoma City, OK 73104-5417
(405) 271-7001
Not Available

Map and Direction




Physician's Profile

Full NameJean I Keddissi
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location825 Ne 10th St, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568430718
  • Provider Enumeration Date: 03/12/2006
  • Last Update Date: 07/03/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2264461169
  • Enrollment ID: I20050811000138

Medical Identifiers

Medical identifiers for Jean I Keddissi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568430718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 20091 (Oklahoma)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 20091 (Oklahoma)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. Jean I Keddissi allows following entities to bill medicare on his behalf.
Entity NameBoard Of Regents Of The University Of Oklahoma - Ou Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801869250
PECOS PAC ID: 2860304334
Enrollment ID: O20031103000607
Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618

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. Jean I Keddissi 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 AddressPractice Location Address
Jean I Keddissi, MD
1122 Ne 13th St, Ori 236,
Oklahoma City, OK 73117-1039

Ph: (405) 271-1515
Jean I Keddissi, MD
825 Ne 10th St, Oupb 2500,
Oklahoma City, OK 73104-5417

Ph: (405) 271-7001

Reviews and Comments


Internal Medicine Doctors in Oklahoma City, OK

Evelyn Lorents, MD
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Dr. Jake Lee Evans, MD
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Metri Haddaden, MD
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Medicare: Medicare Enrolled
Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104
Phone: 405-271-6173    Fax: 410-554-2184
Divya Sharma Divyadarshini, MD
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Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104
Phone: 405-271-5963    
Dr. Philip Barton Miner, Jr., M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104
Phone: 405-271-4644    Fax: 405-271-3296

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.