Shane A Keck, MPA,PA-C - Medicare Physician Assistant in Kirkland, WA

Shane A Keck, MPA,PA-C is a medicare enrolled "Physician Assistant" in Kirkland, Washington. His current practice location is 3100 Carillon Pt, Kirkland, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 576-1700.

Shane A Keck is licensed to practice in Washington (license number PA60021277) 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 1134308067.

Contact Information

Shane A Keck, MPA,PA-C
3100 Carillon Pt,
Kirkland, WA 98033-7306
(425) 576-1700
(425) 827-7725



Provider's Profile

Full NameShane A Keck
GenderMale
SpecialityPhysician Assistant
Location3100 Carillon Pt, Kirkland, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134308067
  • Provider Enumeration Date: 10/27/2007
  • Last Update Date: 09/04/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7517047178
  • Enrollment ID: I20080902000254

Medical Identifiers

Medical identifiers for Shane A Keck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134308067NPI-NPPES
200536260AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1187 (Kansas)Secondary
363A00000XPhysician Assistant PA60021277 (Washington)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. Shane A Keck 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
Shane A Keck, MPA,PA-C
3100 Carillon Point,
Kirkland, WA 98033-7306

Ph: (425) 576-1700
Shane A Keck, MPA,PA-C
3100 Carillon Pt,
Kirkland, WA 98033-7306

Ph: (425) 576-1700

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› Verified 7 days ago


Physician Assistant Nurses in Kirkland, WA

Ms. Katherine Louise Batts, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 12333 Ne 130th Ln, Suite 420, Kirkland, WA 98034
Phone: 425-250-4700    Fax: 425-899-5523
Jordan T Steed, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12039 Ne 128th St Ste 500, Kirkland, WA 98034
Phone: 425-899-5590    
Shanna R Geiger, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12039 Ne 128th St Ste 500, Kirkland, WA 98034
Phone: 425-899-1230    Fax: 425-899-1221
Rolin Alan Pruyn, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12303 Ne 130th Ln, Suite 550, Kirkland, WA 98034
Phone: 425-899-6972    Fax: 425-899-6970
Sarah Virginia Miles, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12040 Ne 128th St, Kirkland, WA 98034
Phone: 425-899-1800    Fax: 425-899-1804
Jack W Romano, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9701 Ne 120th Pl, Kirkland, WA 98034
Phone: 206-909-2601    
Mr. Kyle Olson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034
Phone: 425-821-2000    

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