Samantha Keenan, CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in West Long Branch, New Jersey. Her current practice location is
1019 Broadway, West Long Branch, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 229-6797.
Samantha Keenan is licensed to practice in New Jersey (license number 25ME00076200) 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 1144999335.
Provider's Profile
| Full Name | Samantha Keenan |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1019 Broadway, West Long Branch, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144999335
- Provider Enumeration Date: 09/10/2021
- Last Update Date: 04/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365961513
- Enrollment ID: I20250521002199
Medical Identifiers
Medical identifiers for Samantha Keenan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144999335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 25ME00076200 (New Jersey) | 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. Samantha Keenan allows following entities to bill medicare on her behalf.
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524 |
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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. Samantha Keenan 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 |
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Samantha Keenan, CNM, WHNP-BC
331 Newman Springs Road, Bldg. 2, Suite 220,
Red Bank, NJ 07701
Ph: (732) 807-0877 | Samantha Keenan, CNM, WHNP-BC
1019 Broadway,
West Long Branch, NJ 07764-1326
Ph: (732) 229-6797 |
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