Willard L Keith, MD is a medicare enrolled "Emergency Medicine" physician in Powderly, Kentucky. His current practice location is
1010 Medical Center Dr, Powderly, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 377-1600.
Willard L Keith is licensed to practice in Kentucky (license number 17945) 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 1669534194.
Physician's Profile
| Full Name | Willard L Keith |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1010 Medical Center Dr, Powderly, Kentucky |
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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: 1669534194
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 12/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 3678465929
- Enrollment ID: I20090720000267
Medical Identifiers
Medical identifiers for Willard L Keith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669534194 | NPI | - | NPPES |
| 64010416 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 17945 (Kentucky) | 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. Willard L Keith allows following entities to bill medicare on his behalf.
| Entity Name | Muhlenberg County Health Dept |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962473488 PECOS PAC ID: 9133012503 Enrollment ID: O20040209000064 |
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| Entity Name | Baptist Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
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| Entity Name | Baptist Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
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| Entity Name | Baptist Health Deaconess Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993 |
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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. Willard L Keith 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 |
Willard L Keith, MD 1010 Medical Center Dr, Powderly, KY 42367-5463 Ph: (270) 377-1600 | Willard L Keith, MD 1010 Medical Center Dr, Powderly, KY 42367-5463 Ph: (270) 377-1600 |
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