Mr Keith Michael Judelman, FNP, RN, EAMP is a medicare enrolled "Nurse Practitioner - Family" provider in Sacramento, California. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Seattle Indian Health Board and his current practice location is
1500 21st St, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at
(916) 443-3299.
Mr Keith Michael Judelman is licensed to practice in Washington (license number AP60995298) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104134386.
Healthcare Provider's Profile
| Full Name | Mr Keith Michael Judelman |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 1500 21st St, Sacramento, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Keith Michael Judelman graduated from medical school in 2019
NPI Data:
- NPI Number: 1104134386
- Provider Enumeration Date: 09/21/2010
- Last Update Date: 12/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880028596
- Enrollment ID: I20210628001656
Medical Identifiers
Medical identifiers for Mr Keith Michael Judelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104134386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 60133669 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95012894 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60995298 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Seattle Indian Health Board | 7517866973 | 29 |
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. Mr Keith Michael Judelman allows following entities to bill medicare on his behalf.
| Provider Name | Multicare Health System |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760 |
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| Provider Name | Seattle Childrens Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003319500
PECOS PAC ID: 9032021050
Enrollment ID: O20031211000532 |
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| Provider Name | Seattle Indian Health Board |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316012461
PECOS PAC ID: 7517866973
Enrollment ID: O20040105000550 |
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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. Mr Keith Michael Judelman 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 |
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Mr Keith Michael Judelman, FNP, RN, EAMP
Po Box 2810,
Weaverville, NC 28787-2810
Ph: (828) 989-8686 | Mr Keith Michael Judelman, FNP, RN, EAMP
1500 21st St,
Sacramento, CA 95811
Ph: (916) 443-3299 |
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