| Robert J Keltner, MD | |
|
155 Montauk Avenue, New London, CT 06320 | |
| (860) 444-2223 | |
| (860) 440-3153 |
| Full Name | Robert J Keltner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 155 Montauk Avenue, New London, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154436483 | NPI | - | NPPES |
| 1220573 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 022057 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Keltner, MD 155 Montauk Avenue, New London, CT 06320 Ph: (860) 444-2223 | Robert J Keltner, MD 155 Montauk Avenue, New London, CT 06320 Ph: (860) 444-2223 |
Dr. Roshanak Bagheri, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 194 Howard St, New London, CT 06320 Phone: 860-443-0282 Fax: 860-442-0292 |
Yardley Brice, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 |
Syeda Kanza Afzal, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 |
Dr. Pradnya Velankar, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 |
Mical S Campbell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: Coastal Digestive Diseases, 234a Bank St, New London, CT 06320 Phone: 860-442-0290 Fax: 860-442-2136 |
Suzanne J Klekotka, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 155 Montauk Ave, New London, CT 06320 Phone: 860-444-2223 Fax: 860-440-3153 |
Dr. John Edward Madsen, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 234a Bank St, New London, CT 06320 Phone: 860-442-0290 Fax: 860-442-2136 |