| Greg S Keller, MD | |
|
3195 Stillwater Dr Ste D, Prescott, AZ 86305-7171 | |
| (928) 708-4545 | |
| (928) 708-4544 |
| Full Name | Greg S Keller |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 3195 Stillwater Dr Ste D, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639284813 | NPI | - | NPPES |
| 31711 | Other | AZ | MEDICAL LICENSE |
| 496291 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 31711 (Arizona) | Primary |
| Entity Name | Sjhmc Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
| Entity Name | Yavapai Regional Medical Center Physician Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Greg S Keller, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5874 | Greg S Keller, MD 3195 Stillwater Dr Ste D, Prescott, AZ 86305-7171 Ph: (928) 708-4545 |
Dr. John Wheeler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Willow Creek Rd Ste 1300, Prescott, AZ 86301 Phone: 928-708-4545 Fax: 928-458-2108 | |
Wilford Lee Richardson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1223 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-777-9950 | |
Brent Cameron Anderson, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Willow Creek Rd Ste 1300, Prescott, AZ 86301 Phone: 928-708-4545 Fax: 928-458-2108 | |
Dr. Francisco Jaume, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3195 Stillwater Dr Ste D, Prescott, AZ 86305 Phone: 928-708-4545 Fax: 928-708-4544 | |
Dr. Richard J Lane, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1001 Division St, Prescott, AZ 86301 Phone: 928-778-0922 Fax: 928-778-1470 | |
Dr. Daniel M Burchfield, MD PHD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3655 Crossings Dr, Prescott, AZ 86305 Phone: 928-778-9250 Fax: 928-778-9309 | |
Paul Christian Pflueger, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1223 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-777-9950 Fax: 928-777-9975 |