Mrs Keisha Marie Young, FNP-C in O Fallon, IL

Mrs Keisha Marie Young, FNP-C is a medicare enrolled "Nurse Practitioner" in O Fallon, Illinois. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ssm Medical Group Inc, Ssm Medical Group Inc and her current practice location is 604 Pierce Blvd Ste 150, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 222-9244.

Mrs Keisha Marie Young is licensed to practice in Illinois (license number 209017366) 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 1356833941.

Contact Information

	Mrs Keisha Marie Young, FNP-C
	604 Pierce Blvd Ste 150, O Fallon, IL 62269-2588
	(618) 222-9244
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Keisha Marie Young
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	604 Pierce Blvd Ste 150, O Fallon, Illinois
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:

Mrs Keisha Marie Young graduated from nursing school in 2017

NPI Data:

NPI Number: 1356833941
Provider Enumeration Date: 05/31/2018
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4385993369
Enrollment ID: I20180824000273

Medical Identifiers

Medical identifiers for Mrs Keisha Marie Young such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356833941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2018005309 (Missouri)	Secondary
363L00000X	Nurse Practitioner	209017366 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Medical Group Inc	6608776299	491
Ssm Medical Group Inc	6608776299	491

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. Mrs Keisha Marie Young allows following entities to bill medicare on her behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

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 Keisha Marie Young 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 Keisha Marie Young, FNP-C Po Box 955534, Saint Louis, MO 63195-5534 Ph: () -	Mrs Keisha Marie Young, FNP-C 604 Pierce Blvd Ste 150, O Fallon, IL 62269-2588 Ph: (618) 222-9244

Reviews and Comments

Nurse Practitioner Nurses in O Fallon, IL

Kathy Liefer, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-641-5803
Megan Elizabeth Gomer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1512 English Pine Ln, O Fallon, IL 62269 Phone: 309-368-8984
Annamaria Griffith, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269 Phone: 618-632-9000
Ms. Shambra Cullum, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 217-994-1485
Mrs. Amy Marie Buck, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 670 Pierce Blvd, O Fallon, IL 62269 Phone: 618-206-2070
Derek Pechacek, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387
Mrs. Kimberly Burgess, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 670 Pierce Blvd, O Fallon, IL 62269 Phone: 618-206-2094

Mrs Keisha Marie Young, FNP-C - Medicare Nurse Practitioner in O Fallon, IL