Justin Wade Keathley, LCSW in Jacksonville, AR - Medicare Social Worker Provider

Justin Wade Keathley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Arkansas. His current practice location is 2126 N 1st Street, Suite F, Jacksonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 982-5000.

Justin Wade Keathley is licensed to practice in Arkansas (license number 7536-C) 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 1750763678.

Contact Information

	Justin Wade Keathley, LCSW
	2126 N 1st Street, Suite F, Jacksonville, AR 72076-2868
	(501) 982-5000
	(501) 982-5007

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Wade Keathley
Gender	Male
Speciality	Social Worker - Clinical
Location	2126 N 1st Street, Jacksonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750763678
Provider Enumeration Date: 06/27/2015
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 4688926231
Enrollment ID: I20181009001536

Medical Identifiers

Medical identifiers for Justin Wade Keathley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750763678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7536-C (Arkansas)	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. Justin Wade Keathley allows following entities to bill medicare on his behalf.

Entity Name	Families, Inc Of Arkansas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770535569 PECOS PAC ID: 9335133669 Enrollment ID: O20040412000211

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. Justin Wade Keathley 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
Justin Wade Keathley, LCSW 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 Ph: (870) 933-6886	Justin Wade Keathley, LCSW 2126 N 1st Street, Suite F, Jacksonville, AR 72076-2868 Ph: (501) 982-5000

Reviews and Comments

Social Worker in Jacksonville, AR

Amanda Brett Rowe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2126 N 1st St Ste F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007
George Zappalorta, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1400 Braden St Ste 1, Jacksonville, AR 72076 Phone: 012-411-6765 Fax: 501-241-1427
Jacquelyn Bearden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2411 W Main St, Jacksonville, AR 72076 Phone: 501-982-5402 Fax: 501-982-5404
Mrs. Andrea Stiles, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2126 N 1st St Ste F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007
Mrs. Brandi Lashaye Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 James Street, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007
Ms. Patricia D Snow, LMSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-453-6000 Fax: 501-453-6950
Mr. Mark Howard Kelso, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 James Street, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007

Justin Wade Keathley, LCSW - Medicare Clinical Social Worker in Jacksonville, AR