| Jaclyn Keller, | |
|
300 Randall Rd, Geneva, IL 60134-4200 | |
| (630) 933-4700 | |
| (630) 933-4427 |
| Full Name | Jaclyn Keller |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 9 Years |
| Location | 300 Randall Rd, Geneva, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982066494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036149646 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036149646 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Lutheran Home, The | Peoria, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Keller, 300 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 933-4700 | Jaclyn Keller, 300 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 933-4700 |
Dr. William P Towne, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 351 Delnor Dr Ste 302, Geneva, IL 60134 Phone: 630-232-0280 Fax: 630-232-3895 | |
Tiffany A. Karas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 Randall Rd, Geneva, IL 60134 Phone: 630-208-6775 Fax: 630-208-7937 | |
Dr. Nauman Mushtaq, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 351 Delnor Dr, Geneva, IL 60134 Phone: 630-232-0280 Fax: 630-232-3985 | |
Dr. Amanda K. Corum, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 | |
Elisa A Hofmann, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 Randall Rd, Geneva, IL 60134 Phone: 630-208-6775 Fax: 630-208-7937 | |
Raheemuddin Nazeer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2535 Soderquist Ct, Geneva, IL 60134 Phone: 630-584-1400 Fax: 630-584-1733 | |
Harsh Bipin Patel, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 |