| Aksel Keklik, PA | |
|
150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 | |
| (757) 547-5145 | |
| (757) 539-7488 |
| Full Name | Aksel Keklik |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 150 Burnetts Way, Suffolk, Virginia |
| 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 |
|---|---|---|---|
| 1043235989 | NPI | - | NPPES |
| 49849053 | Other | VA | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001528 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
| Chesapeake General Hospital, Chesapeake Reg Mc | Chesapeake, VA | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sport Medicine And Orthopaedic Center Inc | 8921046616 | 24 |
| Entity Name | Sport Medicine and Orthopaedic Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043246556 PECOS PAC ID: 8921046616 Enrollment ID: O20050422000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Aksel Keklik, PA 501 Discovery Dr, Chesapeake, VA 23320-3843 Ph: (757) 547-5145 | Aksel Keklik, PA 150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 Ph: (757) 547-5145 |
Miss April Channing Lust, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4868 Bridge Rd Ste 300, Suffolk, VA 23435 Phone: 757-483-7100 Fax: 615-320-3259 |
Ms. Lindsey Marie Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2050 Hillpoint Blvd N, Suffolk, VA 23434 Phone: 757-934-3434 Fax: 757-538-9038 |
Y-minh Nguyen, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1500 Breezeport Way Ste 600, Suffolk, VA 23435 Phone: 757-528-8245 Fax: 757-394-1120 |
Kaitlyn Boccella, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3920a Bridge Rd Ste 207, Suffolk, VA 23435 Phone: 757-983-2200 Fax: 757-983-2201 |
Scott Burns, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2790 Godwin Blvd Ste 100, Suffolk, VA 23434 Phone: 757-983-8750 |
Rachel Larue Edmeyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Centerbrooke Ln Ste 100, Suffolk, VA 23434 Phone: 757-702-8105 |
Erik Jon Richardson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2790 Godwin Blvd Ste 101, Suffolk, VA 23434 Phone: 757-539-0670 |