| Danielle Dominique Keller, PA-C | |
|
1330 N Rim Dr Ste A, Flagstaff, AZ 86001-3138 | |
| (661) 843-6420 | |
| Not Available |
| Full Name | Danielle Dominique Keller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 1330 N Rim Dr Ste A, Flagstaff, Arizona |
| 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 |
|---|---|---|---|
| 1366075814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11145 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Laser Center Pc A Professional Medical Corporation | 9537181185 | 81 |
| Entity Name | La Laser Center PC a Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306982855 PECOS PAC ID: 9537181185 Enrollment ID: O20160111002432 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Dominique Keller, PA-C 1330 N Rim Dr Ste A, Flagstaff, AZ 86001-3138 Ph: Not Available | Danielle Dominique Keller, PA-C 1330 N Rim Dr Ste A, Flagstaff, AZ 86001-3138 Ph: (661) 843-6420 |
Mr. Bruce A Mortensen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6410 |
Corey Allen Carver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281 |
Erin H Engel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 |
Anna Elizabeth Fredenberg, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281 |
Kelly Michele Czarnecki, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001 Phone: 928-774-5074 Fax: 928-774-0884 |
Kimberly Sargent, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 |
Mr. Raymond Wolfgang Lieber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 |