Mrs Keiosha Townsend, in Tampa, FL - Medicare Nurse Practitioner

Mrs Keiosha Townsend, is a medicare enrolled "Nurse Practitioner" in Tampa, Florida. Her current practice location is 9009 Corporate Lake Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (612) 632-6906.

Mrs Keiosha Townsend is licensed to practice in Florida (license number 9469159) 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 1861878100.

Contact Information

	Mrs Keiosha Townsend,
	9009 Corporate Lake Dr, Tampa, FL 33634-2367
	(612) 632-6906
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Keiosha Townsend
Gender	Female
Speciality	Nurse Practitioner
Location	9009 Corporate Lake Dr, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861878100
Provider Enumeration Date: 08/10/2015
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3870895832
Enrollment ID: I20160107001393

Medical Identifiers

Medical identifiers for Mrs Keiosha Townsend such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861878100	NPI	-	NPPES
7100384680	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3009564 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	9469159 (Florida)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3009564 (Kentucky)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9469159 (Florida)	Secondary

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. Mrs Keiosha Townsend allows following entities to bill medicare on her behalf.

Entity Name	Infinity Care Plus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811736374 PECOS PAC ID: 3678013851 Enrollment ID: O20240914000139

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. Mrs Keiosha Townsend 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
Mrs Keiosha Townsend, 2441 Woodbine Dr, Crestview, FL 32536-9566 Ph: (706) 577-0559	Mrs Keiosha Townsend, 9009 Corporate Lake Dr, Tampa, FL 33634-2367 Ph: (612) 632-6906

Reviews and Comments

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Mrs Keiosha Townsend, - Medicare Nurse Practitioner in Tampa, FL