| Jennifer Keith, PA | |
|
2907 S Mcintire Dr, Bloomington, IN 47403-4225 | |
| (317) 890-2000 | |
| (317) 859-7220 |
| Full Name | Jennifer Keith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 2907 S Mcintire Dr, Bloomington, Indiana |
| 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 |
|---|---|---|---|
| 1275015901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10002549A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iu Health Bloomington Hospital | Bloomington, IN | Hospital |
| Greene County General Hospital | Linton, IN | Hospital |
| Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
| Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Of Indiana Llc | 7517870009 | 79 |
| Entity Name | Urology of Indiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487680518 PECOS PAC ID: 7517870009 Enrollment ID: O20031111000154 |
| Entity Name | Brian J Logue MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285604199 PECOS PAC ID: 6507815552 Enrollment ID: O20050117000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Keith, PA 679 E County Line Rd, Greenwood, IN 46143-1049 Ph: (317) 890-2000 | Jennifer Keith, PA 2907 S Mcintire Dr, Bloomington, IN 47403-4225 Ph: (317) 890-2000 |
William L Latimer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 |
Alyssa Rose Van Duzer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1175 S College Mall Rd, Bloomington, IN 47401 Phone: 812-323-4301 |
Gaven Andrew Moore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-334-5081 |
Mr. Scott John Hopkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 Fax: 812-355-2317 |
Miss Cheyenne Olivia Powers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 813 W 2nd St, Bloomington, IN 47403 Phone: 812-330-0303 |
Mr. Steven Eugene Jacobs, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-1272 |
Stephanie M West, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4300 Fax: 812-339-8399 |