Dr George D Keckeisen, MD in Southampton, NY

Dr George D Keckeisen, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Southampton, New York. He went to New York Medical College and graduated in 1981 and has 43 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Meeting House Lane Medical Practice Pc and his current practice location is 325 Meeting House Ln, Bldg #2, Southampton, New York. You can reach out to his office (for appointments etc.) via phone at (631) 283-2100.

Dr George D Keckeisen is licensed to practice in New York (license number 151417) 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 1619072436.

Contact Information

	Dr George D Keckeisen, MD
	325 Meeting House Ln, Bldg #2, Southampton, NY 11968-5087
	(631) 283-2100
	(631) 283-5731

Map and Direction

Physician's Profile

Full Name	Dr George D Keckeisen
Gender	Male
Speciality	General Surgery
Experience	43 Years
Location	325 Meeting House Ln, Southampton, New York
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 George D Keckeisen attended and graduated from New York Medical College in 1981

NPI Data:

NPI Number: 1619072436
Provider Enumeration Date: 09/14/2006
Last Update Date: 01/11/2011

Medicare PECOS Information:

PECOS PAC ID: 1759329725
Enrollment ID: I20050421000493

Medical Identifiers

Medical identifiers for Dr George D Keckeisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619072436	NPI	-	NPPES
01521420	Medicaid	NY
27263	Other	NY	VYTRA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	151417 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Suny/stony Brook University Hospital	Stony brook, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meeting House Lane Medical Practice Pc	6800972589	97

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 George D Keckeisen allows following entities to bill medicare on his behalf.

Entity Name	Meeting House Lane Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089

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 George D Keckeisen 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 George D Keckeisen, MD Po Box 2340, Southampton, NY 11969-2340 Ph: (631) 283-2430	Dr George D Keckeisen, MD 325 Meeting House Ln, Bldg #2, Southampton, NY 11968-5087 Ph: (631) 283-2100

Reviews and Comments

Surgery Doctors in Southampton, NY

Lawrence J Tarasuk, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968 Phone: 631-283-2100 Fax: 631-283-5731
Dr. Dawn Marie Brown, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-0409 Fax: 631-726-0396
Dr. Jeffrey Marc Sherwood, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 33 Flying Point Rd, Suite 123, Southampton, NY 11968 Phone: 631-287-9696 Fax: 631-726-9323
Dr. Edna Kapenhas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8300
Dr. Barbara Louise Nichols, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11 Millicent Drive, Southampton, NY 11968 Phone: 631-488-4030 Fax: 631-488-4031
Sang I Pak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Lane, Surgical Specialties Office, Southampton, NY 11968 Phone: 631-726-8717 Fax: 631-726-8720

Dr George D Keckeisen, MD - Medicare General Surgery in Southampton, NY