Dr Kelly Shannon Keefe, MD - Medicare Ophthalmology in San Diego, CA

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Dr Kelly Shannon Keefe, MD is a medicare enrolled "Ophthalmology" physician in San Diego, California. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1985 and has 40 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Loma Linda University Pathology Medical Group, Inc and her current practice location is 3969 4th Ave, Suite 301, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 532-6702.

Dr Kelly Shannon Keefe is licensed to practice in California (license number A48069) 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 1114987658.

Contact Information

Dr Kelly Shannon Keefe, MD
3969 4th Ave, Suite 301,
San Diego, CA 92103
(619) 532-6702
(619) 532-7272

Map and Direction




Physician's Profile

Full NameDr Kelly Shannon Keefe
GenderFemale
SpecialityOphthalmology
Experience40 Years
Location3969 4th Ave, San Diego, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly Shannon Keefe attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1985
  NPI Data:
  • NPI Number: 1114987658
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 11/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072694173
  • Enrollment ID: I20140210000004

Medical Identifiers

Medical identifiers for Dr Kelly Shannon Keefe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114987658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology A48069 (California)Secondary
207W00000XOphthalmology A48069 (California)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 Kelly Shannon Keefe allows following entities to bill medicare on her behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameLoma Linda University Pathology Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457398505
PECOS PAC ID: 1355234972
Enrollment ID: O20040301000597
Entity NameKelly S Keefe Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972871382
PECOS PAC ID: 1951565019
Enrollment ID: O20120621000239

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 Kelly Shannon Keefe 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
Dr Kelly Shannon Keefe, MD
3969 4th Ave, Suite 301,
San Diego, CA 92103

Ph: (619) 291-6191		Dr Kelly Shannon Keefe, MD
3969 4th Ave, Suite 301,
San Diego, CA 92103

Ph: (619) 532-6702

Reviews and Comments


Ophthalmology Doctors in San Diego, CA

Dr. Kirsta Lynn Brummel, DO
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Phone: 619-929-0818    
Curtis James Heisel,
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Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 800-926-8273    Fax: 800-539-8781
Kent Alan Blade, M.D.
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Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134
Phone: 619-532-6702    Fax: 619-532-7272
Dr. Chirag M Shah, M.D., MPH
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Phone: 858-381-0686    Fax: 858-365-5189
Ellie E Samadani, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3737 Moraga Ave, Suite A105, San Diego, CA 92117
Phone: 858-273-0200    Fax: 858-273-0619
Dr. Brittany Elizabeth Powell,
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Medicare: Medicare Enrolled
Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134
Phone: 619-632-6700    
Frank Fonted Tsai,
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Practice Location: 3075 Health Center Dr Ste 401, San Diego, CA 92123
Phone: 589-395-4058    

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.