Dr William Presley Keeton Iii, PSYD in California, MD - Medicare Clinical Psychologist Provider

Dr William Presley Keeton Iii, PSYD is a medicare enrolled "Psychologist" provider in California, Maryland. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Personalized Therapy, Llc and his current practice location is 22593 Three Notch Rd, California, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 862-2505.

Dr William Presley Keeton Iii is licensed to practice in Maryland (license number 05643) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932284072.

Contact Information

	Dr William Presley Keeton Iii, PSYD
	22593 Three Notch Rd, California, MD 20619-3054
	(301) 862-2505
	(301) 862-2548

Map and Direction

Healthcare Provider's Profile

Full Name	Dr William Presley Keeton Iii
Gender	Male
Speciality	Clinical Psychologist
Experience	38 Years
Location	22593 Three Notch Rd, California, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr William Presley Keeton Iii graduated from medical school in 1986

NPI Data:

NPI Number: 1932284072
Provider Enumeration Date: 10/26/2006
Last Update Date: 12/08/2015

Medicare PECOS Information:

PECOS PAC ID: 6709799547
Enrollment ID: I20160114001447

Medical Identifiers

Medical identifiers for Dr William Presley Keeton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932284072	NPI	-	NPPES
0426M	Other	NC	BLUE CROSS/BLUE SHIELD
6000345	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	05643 (Maryland)	Primary
103TC0700X	Psychologist - Clinical	1406 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Personalized Therapy, Llc	3072526235	6

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 William Presley Keeton Iii allows following entities to bill medicare on his behalf.

Entity Name	Personalized Therapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699711135 PECOS PAC ID: 3072526235 Enrollment ID: O20060711000379

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 William Presley Keeton Iii 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
Dr William Presley Keeton Iii, PSYD 22593 Three Notch Rd, California, MD 20619-3054 Ph: (301) 862-2505	Dr William Presley Keeton Iii, PSYD 22593 Three Notch Rd, California, MD 20619-3054 Ph: (301) 862-2505

Dr William Presley Keeton Iii, PSYD - Medicare Psychologist in California, MD