Keith A Poole, DO is a medicare enrolled "Family Medicine" physician in Bridgeport, Ohio. He went to West Virginia School Of Osteopathic Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wheeling Hospital Inc, Wheeling Hospital Inc and his current practice location is
55741 National Road, Bridgeport, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 635-4572.
Keith A Poole is licensed to practice in Ohio (license number 34.007929) 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 1487609558.
Physician's Profile
| Full Name | Keith A Poole |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 26 Years |
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| Location | 55741 National Road, Bridgeport, Ohio |
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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:
- Keith A Poole attended and graduated from West Virginia School Of Osteopathic Medicine in 1999
NPI Data:
- NPI Number: 1487609558
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 07/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244413094
- Enrollment ID: I20110331000759
Medical Identifiers
Medical identifiers for Keith A Poole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487609558 | NPI | - | NPPES |
| 1841034000 | Medicaid | WV | |
| 2345144 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 1840 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 34.007929 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wheeling Hospital Inc | 5799689493 | 374 |
| Wheeling Hospital Inc | 5799689493 | 374 |
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. Keith A Poole allows following entities to bill medicare on his behalf.
| Entity Name | Wheeling Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548923923
PECOS PAC ID: 5799689493
Enrollment ID: O20040204000220 |
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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. Keith A Poole 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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Keith A Poole, DO
51339 National Rd,
Saint Clairsville, OH 43950-9119
Ph: (740) 635-4572 | Keith A Poole, DO
55741 National Road,
Bridgeport, OH 43912
Ph: (740) 635-4572 |
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