| Dr Scott T Keller, DO | |
|
4120 Five Forks Trickum Rd Sw, Suite 105, Lilburn, GA 30047-3130 | |
| (770) 921-6900 | |
| (770) 921-6313 |
| Full Name | Dr Scott T Keller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 4120 Five Forks Trickum Rd Sw, Lilburn, Georgia |
| 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 |
|---|---|---|---|
| 1609861830 | NPI | - | NPPES |
| 00275272D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 024445 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mahon Family Medicine | 5193970267 | 2 |
| Entity Name | Mahon Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629318035 PECOS PAC ID: 5193970267 Enrollment ID: O20130222000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott T Keller, DO 4120 Five Forks Trickum Rd Sw, Suite 105, Lilburn, GA 30047-3130 Ph: (770) 921-6900 | Dr Scott T Keller, DO 4120 Five Forks Trickum Rd Sw, Suite 105, Lilburn, GA 30047-3130 Ph: (770) 921-6900 |
Dean S Attaway, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4120 Five Forks Trickum Rd Sw, Lilburn, GA 30047 Phone: 770-935-9546 Fax: 770-923-1839 | |
Aakar Thaker, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3993 Lawrenceville Hwy Nw Ste 140, Lilburn, GA 30047 Phone: 678-995-3610 Fax: 807-698-5368 | |
Dr. Inder Paul Singh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5354 Lawrenceville Hwy Nw, Lilburn, GA 30047 Phone: 770-493-1800 Fax: 770-493-1860 | |
Changchun C Wu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4319 Lawrenceville Hwy Nw, Lilburn, GA 30047 Phone: 678-583-8888 Fax: 678-894-4267 | |
Dr. Christine I Tolu-ajayi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4120 Five Forks Trickum Rd Sw Ste 104, Lilburn, GA 30047 Phone: 770-935-9546 | |
Dr. Glenn Craig Heigerick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 Beaver Ruin Rd Nw, Suite B, Lilburn, GA 30047 Phone: 770-935-8616 Fax: 770-935-8549 | |
Dr. Lewis Casey Chosewood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5625 Grove Place Xing Sw, Lilburn, GA 30047 Phone: 678-614-7274 |