Keisha Monique Butler, DDS - Medicare Dentist in Bronx, NY

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Keisha Monique Butler, DDS is a medicare enrolled "Dentist - General Practice" provider in Bronx, New York. Her current practice location is 85 W Burnside Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 716-4400.

Keisha Monique Butler is licensed to practice in New York (license number 058135) 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 1164834628.

Contact Information

Keisha Monique Butler, DDS
85 W Burnside Ave,
Bronx, NY 10453-4015
(718) 716-4400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKeisha Monique Butler
GenderFemale
SpecialityDentist - General Practice
Location85 W Burnside Ave, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164834628
  • Provider Enumeration Date: 06/02/2014
  • Last Update Date: 08/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456629393
  • Enrollment ID: I20250707001875

Medical Identifiers

Medical identifiers for Keisha Monique Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164834628NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2017012302 (Missouri)Secondary
1223G0001XDentist - General Practice 058135 (New York)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. Keisha Monique Butler allows following entities to bill medicare on her behalf.
Entity NameNew York City Health and Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208127
PECOS PAC ID: 4183535305
Enrollment ID: O20040322001521

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. Keisha Monique Butler 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 AddressPractice Location Address
Keisha Monique Butler, DDS
420 Carlton Ave Apt 2,
Brooklyn, NY 11238-6461

Ph: (504) 906-2640		Keisha Monique Butler, DDS
85 W Burnside Ave,
Bronx, NY 10453-4015

Ph: (718) 716-4400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.