Dr Michael Eugene Keenan, MD is a medicare enrolled "Internal Medicine" physician in Coventry, Connecticut. His current practice location is
1776 Boston Tpke, Coventry, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 742-0807.
Dr Michael Eugene Keenan is licensed to practice in Connecticut (license number 026639) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760430102.
Physician's Profile
| Full Name | Dr Michael Eugene Keenan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1776 Boston Tpke, Coventry, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760430102
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 08/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 6204975147
- Enrollment ID: I20091205000112
Medical Identifiers
Medical identifiers for Dr Michael Eugene Keenan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760430102 | NPI | - | NPPES |
| 001266394 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 026639 (Connecticut) | 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 Michael Eugene Keenan allows following entities to bill medicare on his behalf.
| Entity Name | Windham Community Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
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| Entity Name | The William W Backus Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
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| Entity Name | Hartford Healthcare Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
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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 Michael Eugene Keenan 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 Michael Eugene Keenan, MD 1776 Boston Tpke, Coventry, CT 06238-1160 Ph: (860) 742-0807 | Dr Michael Eugene Keenan, MD 1776 Boston Tpke, Coventry, CT 06238-1160 Ph: (860) 742-0807 |
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