Keely Shaye Page, is a medicare enrolled "Social Worker" provider in Eureka, California. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice County Of Humboldt and her current practice location is
720 Wood St, Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(707) 268-2990.
Keely Shaye Page is licensed to practice in California (license number 114687) 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 1558915918.
Healthcare Provider's Profile
| Full Name | Keely Shaye Page |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 720 Wood St, Eureka, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Keely Shaye Page graduated from medical school in 2018
NPI Data:
- NPI Number: 1558915918
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507210812
- Enrollment ID: I20230920002192
Medical Identifiers
Medical identifiers for Keely Shaye Page such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558915918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 114687 (California) | Secondary |
| 104100000X | Social Worker | 114687 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| County Of Humboldt | 4082516950 | 19 |
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. Keely Shaye Page allows following entities to bill medicare on her behalf.
| Entity Name | County Of Humboldt |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871676213
PECOS PAC ID: 4082516950
Enrollment ID: O20040121001146 |
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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. Keely Shaye Page 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 |
|---|
Keely Shaye Page,
720 Wood St,
Eureka, CA 95501-4413
Ph: (707) 268-2990 | Keely Shaye Page,
720 Wood St,
Eureka, CA 95501-4413
Ph: (707) 268-2990 |
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