| Dr Cary S Keller, MD | |
|
751 Old Richardson Hwy, Ste# 200, Fairbanks, AK 99701-7813 | |
| (907) 451-6561 | |
| (907) 451-4847 |
| Full Name | Dr Cary S Keller |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 751 Old Richardson Hwy, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992817175 | NPI | - | NPPES |
| MD9953 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | AA3013 (Alaska) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | AA 3013 (Alaska) | Secondary |
| Entity Name | Tanana Valley Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cary S Keller, MD 1919 Lathrop St, Ste 105, Fairbanks, AK 99701-5937 Ph: (907) 451-6561 | Dr Cary S Keller, MD 751 Old Richardson Hwy, Ste# 200, Fairbanks, AK 99701-7813 Ph: (907) 451-6561 |
Jimmy M. Tamai, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way, Ste 101, Fairbanks, AK 99701 Phone: 907-374-4463 Fax: 907-374-7072 | |
Daniel R Johnson, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3745 Geist Road, Fairbanks, AK 99709 Phone: 907-456-3338 | |
Dr. Robert Denison Dingeman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 751 Old Richardson Hwy, Suite 101, Fairbanks, AK 99701 Phone: 907-452-2663 Fax: 907-456-3033 | |
Neal Everson, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 Peger Rd Ste 105, Fairbanks, AK 99709 Phone: 907-479-2663 Fax: 907-479-2691 | |
Dr. Mark Alan Wade, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 Peger Rd, Ste 105, Fairbanks, AK 99709 Phone: 907-479-2663 Fax: 907-479-2691 | |
Dr. David Witham, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 Fax: 907-459-3532 | |
Dr. Gary Ian Molk, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St Ste 105, Fairbanks, AK 99701 Phone: 907-459-3545 Fax: 907-328-0474 |