| Deirdre Keenan, RPA-C | |
|
5229 Witz Drive, North Syracuse, NY 13212 | |
| (315) 701-9500 | |
| Not Available |
| Full Name | Deirdre Keenan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 38 Years |
| Location | 5229 Witz Drive, North Syracuse, New York |
| 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 |
|---|---|---|---|
| 1871572230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 003526 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Imogene Bassett Hospital | Cooperstown, NY | Hospital |
| Oneida Health | Oneida, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Imogene Bassett Hospital | 3779488325 | 780 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Deirdre Keenan, RPA-C 5229 Witz Drive, North Syracuse, NY 13212 Ph: (315) 701-9500 | Deirdre Keenan, RPA-C 5229 Witz Drive, North Syracuse, NY 13212 Ph: (315) 701-9500 |
Mr. Robert C Richman Ii, R-PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5496 East Taft Road, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701 |
Mr. Parker William Lobel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-251-3100 |
Chelsea Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701 |
Jaimie W Newman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6846 Buckley Rd, North Syracuse, NY 13212 Phone: 315-410-6400 Fax: 315-410-6410 |
Sheryl Lang-distefano, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 792 1/2 N Main St, North Syracuse, NY 13212 Phone: 315-701-0500 Fax: 315-701-3650 |
Dylan L Juda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6846 Buckley Rd Ste 1, North Syracuse, NY 13212 Phone: 315-410-6400 Fax: 315-410-6410 |
Sandra E Gibson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701 |