Tina E Keeler, is a medicare enrolled "Nurse Practitioner" physician in Colorado Springs, Colorado. Her current practice location is
1400 E. Boulder Street, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 365-6820.
Tina E Keeler is licensed to practice in Colorado (license number APN.0005064-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376686253.
Physician's Profile
| Full Name | Tina E Keeler |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1400 E. Boulder Street, Colorado Springs, Colorado |
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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: 1376686253
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 06/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052407863
- Enrollment ID: I20071009000913
Medical Identifiers
Medical identifiers for Tina E Keeler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376686253 | NPI | - | NPPES |
| 59427833 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | APN.0005064-NP (Colorado) | Secondary |
| 208M00000X | Hospitalist | APN.0005064-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5064 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | APN.0005064-NP (Colorado) | 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. Tina E Keeler allows following entities to bill medicare on her behalf.
| Entity Name | Emergency Medical Specialists, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194708073 PECOS PAC ID: 2860489242 Enrollment ID: O20040428000221 |
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| Entity Name | Peak Medical Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407420441 PECOS PAC ID: 5395096952 Enrollment ID: O20180920000528 |
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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. Tina E Keeler 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 |
Tina E Keeler, P.o. Box 173891, Denver, CO 80217-9294 Ph: (303) 306-7783 | Tina E Keeler, 1400 E. Boulder Street, Colorado Springs, CO 80909-5533 Ph: (719) 365-6820 |
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