| Dr Robert Nicolas Keenan, MD | |
|
1374 S Mission Rd Ste 408, Fallbrook, CA 92028-4006 | |
| (951) 698-4650 | |
| Not Available |
| Full Name | Dr Robert Nicolas Keenan |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 24 Years |
| Location | 1374 S Mission Rd Ste 408, Fallbrook, California |
| 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 |
|---|---|---|---|
| 1558325654 | NPI | - | NPPES |
| YYY49687Y | Other | CA | SOUTHERN BLUE SHIELD |
| 00A797420 | Medicaid | CA | |
| ZZZ27707Z | Other | CA | NORTHERN BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A79742 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barton Memorial Hospital | South lake tahoe, CA | Hospital |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Physicians Network | 3274580972 | 572 |
| Sonora Community Hospital | 4284538505 | 127 |
| Barton Medical Foundation | 5395127682 | 87 |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033100854 PECOS PAC ID: 4284538505 Enrollment ID: O20040316000829 |
| Entity Name | Tahoe Carson Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
| Entity Name | Fallbrook-rancho Surgery A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437174240 PECOS PAC ID: 6507849551 Enrollment ID: O20040610000692 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
| Entity Name | Kern County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376623538 PECOS PAC ID: 4688964521 Enrollment ID: O20160915002690 |
| Entity Name | Adventist Health Medical Center Tehachapi |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275538530 PECOS PAC ID: 1456646629 Enrollment ID: O20170124000729 |
| Entity Name | Barton Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Nicolas Keenan, MD 1374 S Mission Rd Ste 408, Fallbrook, CA 92028-4006 Ph: (951) 698-4650 | Dr Robert Nicolas Keenan, MD 1374 S Mission Rd Ste 408, Fallbrook, CA 92028-4006 Ph: (951) 698-4650 |
Dr. Melvyn J Michaelian, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 521 E Elder St, Ste 205, Fallbrook, CA 92028 Phone: 760-728-6106 Fax: 760-728-4547 | |
Dr. Devin Stephen Zarkowsky, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 591 E Elder St Ste B, Fallbrook, CA 92028 Phone: 858-304-0117 Fax: 760-389-9119 |