Lester Keathley, RN is a medicare enrolled "Nurse Practitioner - Family" in Gore, Oklahoma. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Eastern Oklahoma Medical Consultants Pllc and his current practice location is
700 N Main St, Gore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 571-2369.
Lester Keathley is licensed to practice in Oklahoma (license number 103738) 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 1003188962.
Provider's Profile
| Full Name | Lester Keathley |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 700 N Main St, Gore, Oklahoma |
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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. |
Medical Education and Training:
- Lester Keathley graduated from nursing school in 2020
NPI Data:
- NPI Number: 1003188962
- Provider Enumeration Date: 02/07/2012
- Last Update Date: 08/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 2668882390
- Enrollment ID: I20201106002291
Medical Identifiers
Medical identifiers for Lester Keathley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003188962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 103738 (Oklahoma) | 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. Lester Keathley allows following entities to bill medicare on his behalf.
| Entity Name | Eastern Oklahoma Medical Consultants Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114276425 PECOS PAC ID: 9739337510 Enrollment ID: O20120920000163 |
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| Entity Name | Superior Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073330056 PECOS PAC ID: 0941736631 Enrollment ID: O20241204003476 |
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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. Lester 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 |
Lester Keathley, RN 109 8th Street, Gore, OK 74435 Ph: (918) 571-2369 | Lester Keathley, RN 700 N Main St, Gore, OK 74435-2013 Ph: (918) 571-2369 |
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