| Dr Keith G Nelson, DO | |
| 463 E Circle Dr, East Lansing, MI 48824-7500 | |
| (517) 884-6546 | |
| (517) 432-9460 | 
| Full Name | Dr Keith G Nelson | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 463 E Circle Dr, East Lansing, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811001167 | NPI | - | NPPES | 
| 4756782 | Medicaid | MI | |
| 5330084 | Other | MI | BLUE CARE NETWORK | 
| 1811001167 | Medicaid | MI | |
| 0100197 | Other | MI | PHP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010456 (Michigan) | Primary | 
| Entity Name | Michigan State University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770646028 PECOS PAC ID: 3870405954 Enrollment ID: O20031218000451 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Keith G Nelson, DO 804 Service Rd, A201, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Dr Keith G Nelson, DO 463 E Circle Dr, East Lansing, MI 48824-7500 Ph: (517) 884-6546 | 
| Dr. Fiel Ybanez Cunningham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
| Dr. Michael J Hafran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
| Dr. Christine A Blakeney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1520 Ramblewood Dr., Suite 100, East Lansing, MI 48823 Phone: 517-324-9400 Fax: 517-324-9482 | |
| Dr. Cynthia A. Buchweitz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2035 Asher Ct, Suite 200, East Lansing, MI 48823 Phone: 517-337-8580 Fax: 517-337-8577 | |
| Megan Quinlan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
| Julia Bowman Popenoe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 463 E Circle Dr, East Lansing, MI 48824 Phone: 517-884-6546 Fax: 517-432-9460 | |
| Dr. Robin Hazard Demuth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, Suite A142, East Lansing, MI 48824 Phone: 517-353-3050 Fax: 517-432-3742 |