Grace Christine Keathley, PA is a medicare enrolled "Physician Assistant" in Malden, Missouri. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Poplar Bluff Regional Medical Center Llc and her current practice location is
806 N Douglass St, Malden, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 276-3873.
Grace Christine Keathley is licensed to practice in Missouri (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235098898.
Provider's Profile
| Full Name | Grace Christine Keathley |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 806 N Douglass St, Malden, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Grace Christine Keathley graduated from nursing school in 2025
NPI Data:
- NPI Number: 1235098898
- Provider Enumeration Date: 01/20/2026
- Last Update Date: 01/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 5092297697
- Enrollment ID: I20260303003826
Medical Identifiers
Medical identifiers for Grace Christine Keathley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235098898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Poplar Bluff Regional Medical Center Llc | 6800707225 | 9 |
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. Grace Christine Keathley 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 |
Grace Christine Keathley, PA 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 Ph: (573) 776-2000 | Grace Christine Keathley, PA 806 N Douglass St, Malden, MO 63863-1512 Ph: (573) 276-3873 |
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