Mamadi Keita, MD in Farmington, CT - Medicare Student in an Organized Health Care Education/Training Program

Mamadi Keita, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Farmington, Connecticut. His current practice location is 263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 679-2000.

Mamadi Keita is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740727940.

Contact Information

	Mamadi Keita, MD
	263 Farmington Ave, Farmington, CT 06030-3765
	(860) 679-2000
	Not Available

Physician's Profile

Full Name	Mamadi Keita
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	263 Farmington Ave, Farmington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740727940
Provider Enumeration Date: 01/25/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0446522874
Enrollment ID: I20170821001396

Medical Identifiers

Medical identifiers for Mamadi Keita such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740727940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	125069718 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Mamadi Keita 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
Mamadi Keita, MD 263 Farmington Ave, Farmington, CT 06030-1916 Ph: (860) 679-2147	Mamadi Keita, MD 263 Farmington Ave, Farmington, CT 06030-3765 Ph: (860) 679-2000

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Mamadi Keita, MD - Medicare Student in an Organized Health Care Education/Training Program in Farmington, CT