Samuel James Keck-flory, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Edwardsville, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Illinois Associates Psychiatry P C and his current practice location is
103 Southpointe Dr Ste A, Edwardsville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 656-2000.
Samuel James Keck-flory is licensed to practice in Illinois (license number 125080643) 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 1679203756.
Physician's Profile
| Full Name | Samuel James Keck-flory |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 4 Years |
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| Location | 103 Southpointe Dr Ste A, Edwardsville, Illinois |
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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:
- Samuel James Keck-flory attended and graduated from Southern Illinois University School Of Medicine in 2022
NPI Data:
- NPI Number: 1679203756
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 06/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 8628459195
- Enrollment ID: I20260604003151
Medical Identifiers
Medical identifiers for Samuel James Keck-flory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679203756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 125080643 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Illinois Associates Psychiatry P C | 4880649045 | 2 |
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. Samuel James Keck-flory allows following entities to bill medicare on his behalf.
| Entity Name | Illinois Associates Psychiatry P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023108875
PECOS PAC ID: 4880649045
Enrollment ID: O20050321000736 |
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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. Samuel James Keck-flory 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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Samuel James Keck-flory, MD
103 Southpointe Dr Ste A,
Edwardsville, IL 62025-3780
Ph: (618) 656-2000 | Samuel James Keck-flory, MD
103 Southpointe Dr Ste A,
Edwardsville, IL 62025-3780
Ph: (618) 656-2000 |
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