Ubah Keynan, FNP in Crystal, MN - Medicare Nurse Practitioner

Ubah Keynan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Crystal, Minnesota. Her current practice location is 5200 Douglas Dr N, Crystal, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 400-3628.

Ubah Keynan is licensed to practice in Minnesota (license number 8331) 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 1376212761.

Contact Information

	Ubah Keynan, FNP
	5200 Douglas Dr N, Crystal, MN 55429-3104
	(763) 400-3628
	(763) 342-4183

Map and Direction

Provider's Profile

Full Name	Ubah Keynan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5200 Douglas Dr N, Crystal, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376212761
Provider Enumeration Date: 09/08/2021
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4981061058
Enrollment ID: I20230605002131

Medical Identifiers

Medical identifiers for Ubah Keynan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376212761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8331 (Minnesota)	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. Ubah Keynan allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Minnesota Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407227945 PECOS PAC ID: 7810289949 Enrollment ID: O20160712000184

Entity Name	Herself Health Mn Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326775420 PECOS PAC ID: 6507234820 Enrollment ID: O20221117002048

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. Ubah Keynan 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
Ubah Keynan, FNP 1010 W Lake St, Minneapolis, MN 55408-2860 Ph: (612) 822-1297	Ubah Keynan, FNP 5200 Douglas Dr N, Crystal, MN 55429-3104 Ph: (763) 400-3628

Reviews and Comments

Nurse Practitioner Nurses in Crystal, MN

Sarah Mary Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Jennifer Nelson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Julitta Adu-gyamfi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6014 Lakeland Ave N, Crystal, MN 55428 Phone: 612-871-2312
Helen O Osonowo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5724 Bass Lake Rd, Crystal, MN 55429 Phone: 763-561-3434 Fax: 612-314-8840
Jill Titze, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Naomi Ongeri, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183

Ubah Keynan, FNP - Medicare Nurse Practitioner in Crystal, MN