| Dr Keith L Mullenger, MD | |
|
875 Military Trl, Jupiter, FL 33458-5700 | |
| (561) 748-9828 | |
| (561) 630-4543 |
| Full Name | Dr Keith L Mullenger |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 48 Years |
| Location | 875 Military Trl, Jupiter, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366481079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME89087 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impression Imaging Llc | 1759547979 | 10 |
| Entity Name | Impression Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780941864 PECOS PAC ID: 1759547979 Enrollment ID: O20120716000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith L Mullenger, MD 5555 Anglers Ave, Ste 24, Fort Lauderdale, FL 33312-6653 Ph: (954) 962-6265 | Dr Keith L Mullenger, MD 875 Military Trl, Jupiter, FL 33458-5700 Ph: (561) 748-9828 |
Sandra Ramos Schneider, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 S Us Highway 1, Suite 203-293, Jupiter, FL 33477 Phone: 404-274-9897 | |
Sandra L Mondro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-747-2234 | |
Dr. Scott Andrew Edwards, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5529 Pennock Point Rd, Jupiter, FL 33458 Phone: 561-398-7048 | |
Dr. Paul Cofnas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-263-5007 | |
David M Mullin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-747-2234 | |
Dr. Kyle R Gormezano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 Peacock Ln N, Jupiter, FL 33458 Phone: 952-595-1100 Fax: 612-294-4903 |