Amanda Michele Keenhold, DNP, PMHNP in Mesa, AZ

Amanda Michele Keenhold, DNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. Her current practice location is 2204 S Dobson Rd Ste 102, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 230-7373.

Amanda Michele Keenhold is licensed to practice in Arizona (license number 272626) 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 1013248699.

Contact Information

	Amanda Michele Keenhold, DNP, PMHNP
	2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457
	(602) 230-7373
	(480) 628-8577

Map and Direction

Provider's Profile

Full Name	Amanda Michele Keenhold
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2204 S Dobson Rd Ste 102, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013248699
Provider Enumeration Date: 01/21/2010
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4587032149
Enrollment ID: I20221201002808

Medical Identifiers

Medical identifiers for Amanda Michele Keenhold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013248699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN187348 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	272626 (Arizona)	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. Amanda Michele Keenhold allows following entities to bill medicare on her behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

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. Amanda Michele Keenhold 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
Amanda Michele Keenhold, DNP, PMHNP 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373	Amanda Michele Keenhold, DNP, PMHNP 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 Ph: (602) 230-7373

Reviews and Comments

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Amanda Michele Keenhold, DNP, PMHNP - Medicare Nurse Practitioner in Mesa, AZ