| Kevin R Keller, MD | |
|
1000 N Oak Ave, Marshfield, WI 54449-5703 | |
| (715) 387-5186 | |
| Not Available |
| Full Name | Kevin R Keller |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 37 Years |
| Location | 1000 N Oak Ave, Marshfield, Wisconsin |
| 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 |
|---|---|---|---|
| 1790720795 | NPI | - | NPPES |
| 100039260B | Medicaid | OK | |
| P00331539 | Other | AR | RR MCR |
| 5J075 | Other | AR | AR BC/BS |
| 123411001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | C-8356 (Arkansas) | Secondary |
| 207K00000X | Allergy & Immunology | 66691 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Ascension St Clares Hospital | Weston, WI | Hospital |
| Marshfield Medical Center - Neillsville | Neillsville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1045 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin R Keller, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5186 | Kevin R Keller, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5186 |
John T Twiggs, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5186 | |
Marshall Edward Cusic Jr., M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5186 | |
Gerald Bucholtz, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5186 | |
Priyanka Timothy, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5600 |