Mrs Keisha Antoinette Mahoney, FNP in Smithtown, NY

Mrs Keisha Antoinette Mahoney, FNP is a medicare enrolled "Nurse Practitioner - Family" in Smithtown, New York. Her current practice location is 20 Steven Pl, Smithtown, New York. You can reach out to her office (for appointments etc.) via phone at (516) 754-0073.

Mrs Keisha Antoinette Mahoney is licensed to practice in New York (license number 33339112) 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 1255731501.

Contact Information

	Mrs Keisha Antoinette Mahoney, FNP
	20 Steven Pl, Smithtown, NY 11787-5423
	(516) 754-0073
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Keisha Antoinette Mahoney
Gender	Female
Speciality	Nurse Practitioner - Family
Location	20 Steven Pl, Smithtown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255731501
Provider Enumeration Date: 08/23/2014
Last Update Date: 08/23/2014

Medicare PECOS Information:

PECOS PAC ID: 4385955350
Enrollment ID: I20150617000918

Medical Identifiers

Medical identifiers for Mrs Keisha Antoinette Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255731501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	33339112 (New York)	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. Mrs Keisha Antoinette Mahoney allows following entities to bill medicare on her behalf.

Entity Name	Long Island Medical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841443538 PECOS PAC ID: 3476619867 Enrollment ID: O20090310000537

Entity Name	Fulton Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841635133 PECOS PAC ID: 8527201540 Enrollment ID: O20130823000424

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 Keisha Antoinette Mahoney 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 Keisha Antoinette Mahoney, FNP 20 Steven Pl, Smithtown, NY 11787-5423 Ph: (516) 754-0073	Mrs Keisha Antoinette Mahoney, FNP 20 Steven Pl, Smithtown, NY 11787-5423 Ph: (516) 754-0073

Reviews and Comments

Nurse Practitioner Nurses in Smithtown, NY

Mrs. Anne Marie Mcgrath, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 E Main St Ste 700, Smithtown, NY 11787 Phone: 631-361-4802 Fax: 631-361-5376
Mrs. Rachel Anne Demaio, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 994 W Jericho Tpke, Smithtown, NY 11787 Phone: 631-265-4200
Mrs. Melissa Reilly, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 329 E Main St Ste 9, Smithtown, NY 11787 Phone: 631-366-2333
Mr. Donald Peter Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 New York Ave # 25a, Smithtown, NY 11787 Phone: 631-862-3000
Christina Decosta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 994 W Jericho Tpke Ste 104, Smithtown, NY 11787 Phone: 631-543-1440
Ms. Ellen Marie Mccarty-santoro, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 496 Smithtown Byp, Smithtown, NY 11787 Phone: 631-979-8880 Fax: 631-979-8091
Mrs. Jennifer Cassidy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 Middle Country Rd, Suite 214, Smithtown, NY 11787 Phone: 631-265-5050 Fax: 631-265-3304

Mrs Keisha Antoinette Mahoney, FNP - Medicare Nurse Practitioner in Smithtown, NY