Keenan C Wanamaker, DO in Montgomery, AL - Medicare Vascular Surgery

Keenan C Wanamaker, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Montgomery, Alabama. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Lakeside Heart And Vascular Center Pllc and his current practice location is 7085 Sydney Curv, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 246-4774.

Keenan C Wanamaker is licensed to practice in Arizona (license number 3721) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972508968.

Contact Information

	Keenan C Wanamaker, DO
	7085 Sydney Curv, Montgomery, AL 36117-3509
	(334) 246-4774
	(334) 246-2450

Map and Direction

Physician's Profile

Full Name	Keenan C Wanamaker
Gender	Male
Speciality	Vascular Surgery
Experience	30 Years
Location	7085 Sydney Curv, Montgomery, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keenan C Wanamaker attended and graduated from Michigan State University College Of Osteopathic Medicine in 1995

NPI Data:

NPI Number: 1972508968
Provider Enumeration Date: 06/16/2005
Last Update Date: 05/10/2021

Medicare PECOS Information:

PECOS PAC ID: 1658364336
Enrollment ID: I20040407000916

Medical Identifiers

Medical identifiers for Keenan C Wanamaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972508968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	3721 (Arizona)	Secondary
208600000X	Surgery	DO-900 (Alabama)	Secondary
2086S0129X	Surgery - Vascular Surgery	3721 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Havasu Regional Medical Center	Lake havasu city, AZ	Hospital
La Paz Regional Hospital	Parker, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeside Heart And Vascular Center Pllc	4587832779	27

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keenan C Wanamaker allows following entities to bill medicare on his behalf.

Entity Name	Evac Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073772588 PECOS PAC ID: 6709953508 Enrollment ID: O20080919000550

Entity Name	Lakeside Heart And Vascular Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801194352 PECOS PAC ID: 4587832779 Enrollment ID: O20110713000658

Entity Name	Colorado Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356714638 PECOS PAC ID: 5890091409 Enrollment ID: O20190522001914

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keenan C Wanamaker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keenan C Wanamaker, DO 7085 Sydney Curv, Montgomery, AL 36117-3509 Ph: (334) 246-4774	Keenan C Wanamaker, DO 7085 Sydney Curv, Montgomery, AL 36117-3509 Ph: (334) 246-4774

Reviews and Comments

Surgery Doctors in Montgomery, AL

Dr. William N Veale Jr., MD, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 1758 Park Pl Ste 300, Montgomery, AL 36106 Phone: 334-293-8922 Fax: 334-293-6820
Dr. Irwin Christopher White-gittens, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2104 Chestnut St, Montgomery, AL 36106 Phone: 334-801-9952 Fax: 334-356-4195
Dr. Ahmed Raza, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd Ste 503, Montgomery, AL 36116 Phone: 334-284-6500 Fax: 334-284-6202
Dr. Alexander Vaugh Kreher Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 202, Montgomery, AL 36106 Phone: 334-265-9888
Dr. Richard Lee Mullins Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd, Suite 601, Montgomery, AL 36116 Phone: 334-747-2999 Fax: 334-747-7276
Jacob Anderson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd Ste 601, Montgomery, AL 36116 Phone: 334-747-2999
Dr. Richard Tan Li Zhe, MBBCH Surgery Medicare: Accepting Medicare Assignments Practice Location: 2104 Chestnut St, Montgomery, AL 36106 Phone: 334-801-9952

Keenan C Wanamaker, DO - Medicare Vascular Surgery in Montgomery, AL