BEITRIS MCKEON PA-C
NPI 1457767238
Physician Assistant - Surgical in Derby, CT

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
130 DIVISION ST, DERBY, CT 06418(203) 732-1330(203) 732-1332 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Mar 11, 2021, Jan 14, 2021 (3 updates tracked since 2021).

About Beitris Mckeon Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEITRIS MCKEON PA-C (NPI 1457767238) is an individual surgical provider in Derby, Connecticut, licensed in Connecticut (4491) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457767238
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBEITRIS MCKEONCredential: PA-C
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address67 Maple AveDerby, CT 06418-1328 · (203) 732-1330 · Fax (203) 732-1332
Fax(203) 732-1332
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 1, 2014
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1457767238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 4491
130 DIVISION ST, Derby, CT 06418

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Beitris Mckeon Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799904090
PECOS Enrollment IDI20210122000720
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Internal Medicine (Endocrinology, Diabetes & Metabolism)
130 DIVISION ST
DERBY, CT 06418
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beitris Mckeon's NPI number?

The NPI number for Beitris Mckeon is 1457767238. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Beitris Mckeon located?

Beitris Mckeon practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-1330.

What is Beitris Mckeon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Beitris Mckeon enrolled in Medicare?

Yes. Beitris Mckeon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Beitris Mckeon was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.