Dr Katherine Moore Keeley, MD in Lakewood Ranch, FL

Dr Katherine Moore Keeley, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Lakewood Ranch, Florida. Her current practice location is 8430 Enterprise Cir, Suite 130, Lakewood Ranch, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 366-3000.

Dr Katherine Moore Keeley is licensed to practice in Florida (license number ME57672) 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 1073548210.

Contact Information

	Dr Katherine Moore Keeley, MD
	8430 Enterprise Cir, Suite 130, Lakewood Ranch, FL 34202-4107
	(941) 366-3000
	(941) 366-3002

Map and Direction

Physician's Profile

Full Name	Dr Katherine Moore Keeley
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	8430 Enterprise Cir, Lakewood Ranch, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073548210
Provider Enumeration Date: 07/12/2006
Last Update Date: 09/02/2015

Medicare PECOS Information:

PECOS PAC ID: 4587961446
Enrollment ID: I20160321002498

Medical Identifiers

Medical identifiers for Dr Katherine Moore Keeley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073548210	NPI	-	NPPES
33181	Other	FL	BCBS FLORIDA
11280	Other		BCBS
622723	Other		AETNA
058451700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	ME57672 (Florida)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	ME57672 (Florida)	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. Dr Katherine Moore Keeley allows following entities to bill medicare on her behalf.

Entity Name	Smh Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211

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. Dr Katherine Moore Keeley 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
Dr Katherine Moore Keeley, MD Po Box 863407, Orlando, FL 32886-3407 Ph: (941) 917-2600	Dr Katherine Moore Keeley, MD 8430 Enterprise Cir, Suite 130, Lakewood Ranch, FL 34202-4107 Ph: (941) 366-3000

Reviews and Comments

Pediatrics Doctors in Lakewood Ranch, FL

Wendy Beth Hurwitz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14405 Arbor Green Trl, Lakewood Ranch, FL 34202 Phone: 941-917-7080 Fax: 941-917-7085
Deirdra Miguel Myers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202 Phone: 941-366-3000 Fax: 941-366-3002
Dr. Rene A Sueiro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14405 Arbor Green Trl, Lakewood Ranch, FL 34202 Phone: 941-917-7080 Fax: 941-917-7085
Jose Tavarez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202 Phone: 941-366-3000 Fax: 941-366-3002
Dr. Lisa Catherine Wittmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8430 Enterprise Cir Ste 130, Lakewood Ranch, FL 34202 Phone: 941-366-3000 Fax: 941-917-3002
Ms. Jennifer Briana Scheer, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 14405 Arbor Green Trl, Lakewood Ranch, FL 34202 Phone: 941-917-7080 Fax: 941-917-7081
Robert John Shamsey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8430 Enterprise Cir, Suite 130, Lakewood Ranch, FL 34202 Phone: 941-366-3000 Fax: 941-366-3002

Dr Katherine Moore Keeley, MD - Medicare Pediatrics in Lakewood Ranch, FL