Dr Coretta D Keith, DNP, FNP-BC - Medicare Nurse Practitioner in Tifton, GA

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Dr Coretta D Keith, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner" in Tifton, Georgia. Her current practice location is 901 18th St E, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 382-7120.

Dr Coretta D Keith is licensed to practice in Georgia (license number RN124581) 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 1306884374.

Contact Information

Dr Coretta D Keith, DNP, FNP-BC
901 18th St E,
Tifton, GA 31794-3648
(229) 382-7120
Not Available

Map and Direction




Provider's Profile

Full NameDr Coretta D Keith
GenderFemale
SpecialityNurse Practitioner
Location901 18th St E, Tifton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306884374
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 05/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012908114
  • Enrollment ID: I20040519000092

Medical Identifiers

Medical identifiers for Dr Coretta D Keith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306884374NPI-NPPES
P00266428OtherGARAILROAD MEDICARE
000927198EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP4450 (Arizona)Secondary
363L00000XNurse Practitioner RN124581 (Georgia)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. Dr Coretta D Keith allows following entities to bill medicare on her behalf.
Entity NamePhoebe Putney Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992789721
PECOS PAC ID: 4486559549
Enrollment ID: O20031203000397
Entity NameGeorgia Em-i Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285682583
PECOS PAC ID: 0446157218
Enrollment ID: O20031218000621
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583
Entity NamePhoebe Sumter Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609001312
PECOS PAC ID: 4385789213
Enrollment ID: O20110324000491
Entity NameFort Oglethorpe Emergency Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174024376
PECOS PAC ID: 8527323633
Enrollment ID: O20180521000111

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. Dr Coretta D Keith 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
Dr Coretta D Keith, DNP, FNP-BC
116 Beowulf Ln,
Leesburg, GA 31763-5831

Ph: (404) 710-6646		Dr Coretta D Keith, DNP, FNP-BC
901 18th St E,
Tifton, GA 31794-3648

Ph: (229) 382-7120

Reviews and Comments


Nurse Practitioner Nurses in Tifton, GA

Israel Saucedo, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-353-7050    
Mrs. Lisa Dian Smith, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1806 Lee Ave, Tifton, GA 31794
Phone: 229-386-1528    Fax: 229-388-0556
Ana Alicia Gomez Nova, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793
Phone: 229-445-3509    
Callie Haynes, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1622 Madison Ave, Tifton, GA 31794
Phone: 229-387-8061    
Hannah Janleigh Vickers, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1493 Kennedy Rd Ste A, Tifton, GA 31794
Phone: 229-391-4130    Fax: 229-391-4138
Rachel Ware Holloway, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794
Phone: 229-391-4100    
David Ryan Atkins, APRN-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-382-7120    

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).

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