Mrs Lacey Danielle Keeth, MSN, FNP-C - Medicare Nurse Practitioner in Vidalia, LA

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Mrs Lacey Danielle Keeth, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Vidalia, Louisiana. Her current practice location is 1643 Carter Street, Suite #1, Vidalia, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 336-8707.

Mrs Lacey Danielle Keeth is licensed to practice in Louisiana (license number AP09734) 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 1679823090.

Contact Information

Mrs Lacey Danielle Keeth, MSN, FNP-C
1643 Carter Street, Suite #1,
Vidalia, LA 71373
(318) 336-8707
(318) 336-8876

Map and Direction




Provider's Profile

Full NameMrs Lacey Danielle Keeth
GenderFemale
SpecialityNurse Practitioner - Family
Location1643 Carter Street, Vidalia, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679823090
  • Provider Enumeration Date: 09/12/2012
  • Last Update Date: 10/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698035707
  • Enrollment ID: I20180212000289

Medical Identifiers

Medical identifiers for Mrs Lacey Danielle Keeth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679823090NPI-NPPES
2460561MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R872599 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family AP09734 (Louisiana)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 Lacey Danielle Keeth allows following entities to bill medicare on her behalf.
Entity NameConcordia Parish Hospital Service District Number One
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679513600
PECOS PAC ID: 4587559935
Enrollment ID: O20040216001076
Entity NameConcordia Parish Hospital Service District Number One
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952565335
PECOS PAC ID: 4587559935
Enrollment ID: O20041012000111

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 Lacey Danielle Keeth 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 AddressPractice Location Address
Mrs Lacey Danielle Keeth, MSN, FNP-C
1643 Carter Street, Suite #1,
Vidalia, LA 71373

Ph: (318) 336-8707		Mrs Lacey Danielle Keeth, MSN, FNP-C
1643 Carter Street, Suite #1,
Vidalia, LA 71373

Ph: (318) 336-8707

Reviews and Comments


Nurse Practitioner Nurses in Vidalia, LA

Mrs. Brianne Ellis Black, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1648 Carter St Ste 2, Vidalia, LA 71373
Phone: 318-414-2315    Fax: 318-414-5250
Arthuanna Plater, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 107 Front St, Vidalia, LA 71373
Phone: 225-241-5515    
Ruby Sharee Cooks, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4319 Carter St, Vidalia, LA 71373
Phone: 318-414-2190    
Mrs. Lisa Cazalot, APRN, FNP, C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 Front St, Vidalia, LA 71373
Phone: 318-336-2216    Fax: 318-336-6095
Angela S Letard, CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 107 Front Street, Vidalia, LA 71373
Phone: 318-336-2216    Fax: 318-336-6074
Shonte' Patrice Daniels,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 107 Front St Ste 2134, Vidalia, LA 71373
Phone: 318-336-2212    Fax: 318-336-6067

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.