Dr Keith Phillip Donald, MD is a medicare enrolled "Surgery" physician in Lakeport, California. He went to University Of California, Geffen School Of Medicine and graduated in 1988 and has 38 years of diverse experience with area of expertise as General Surgery. His current practice location is
5196 Hill Rd E, Suite 201, Lakeport, California. You can reach out to his office (for appointments etc.) via phone at
(707) 263-4108.
Dr Keith Phillip Donald is licensed to practice in California (license number G76641) 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 1285768234.
Physician's Profile
| Full Name | Dr Keith Phillip Donald |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 38 Years |
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| Location | 5196 Hill Rd E, Lakeport, California |
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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. |
Medical Education and Training:
- Dr Keith Phillip Donald attended and graduated from University Of California, Geffen School Of Medicine in 1988
NPI Data:
- NPI Number: 1285768234
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022202449
- Enrollment ID: I20101029001024
Medical Identifiers
Medical identifiers for Dr Keith Phillip Donald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285768234 | NPI | - | NPPES |
| 00G766411 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | G76641 (California) | Primary |
Medical Facilities Affiliation
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 Phillip Donald allows following entities to bill medicare on his behalf.
| Entity Name | Surgical Affiliates of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127 |
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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 Phillip Donald 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 Keith Phillip Donald, MD 5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6360 Ph: (707) 263-4108 | Dr Keith Phillip Donald, MD 5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6360 Ph: (707) 263-4108 |
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