Dr Keith Edward Earley Jr, MD is a medicare enrolled "Ophthalmology" physician in Keesler Afb, Mississippi. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice San Antonio Eye Center, Pa and his current practice location is
301 Fisher Ave, Keesler Afb, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 377-1110.
Dr Keith Edward Earley Jr is licensed to practice in Indiana (license number 01068798A) 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 1174833602.
Physician's Profile
| Full Name | Dr Keith Edward Earley Jr |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 16 Years |
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| Location | 301 Fisher Ave, Keesler Afb, Mississippi |
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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:
- Dr Keith Edward Earley Jr graduated from medical school in 2009
NPI Data:
- NPI Number: 1174833602
- Provider Enumeration Date: 10/18/2010
- Last Update Date: 07/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335578699
- Enrollment ID: I20221130001836
Medical Identifiers
Medical identifiers for Dr Keith Edward Earley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174833602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 01068798A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| San Antonio Eye Center, Pa | 8325033764 | 28 |
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 Keith Edward Earley Jr allows following entities to bill medicare on his behalf.
| Entity Name | San Antonio Eye Center, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407808173
PECOS PAC ID: 8325033764
Enrollment ID: O20040416000095 |
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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. Dr Keith Edward Earley Jr 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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Dr Keith Edward Earley Jr, MD
301 Fisher Ave,
Keesler Afb, MS 39530
Ph: (228) 377-1110 | Dr Keith Edward Earley Jr, MD
301 Fisher Ave,
Keesler Afb, MS 39530
Ph: (228) 377-1110 |
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