| Katherine Keller, | |
|
5203 Broadway St, Indianapolis, IN 46220-3135 | |
| (317) 504-9911 | |
| Not Available |
| Full Name | Katherine Keller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 5203 Broadway St, Indianapolis, 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 |
|---|---|---|---|
| 1609505817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cooper University Hospital | Camden, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooper Surgical Associates, Pa | 3274430764 | 303 |
| Entity Name | Cooper Surgical Associates, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427177195 PECOS PAC ID: 3274430764 Enrollment ID: O20031213000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Keller, 5203 Broadway St, Indianapolis, IN 46220-3135 Ph: (317) 504-9911 | Katherine Keller, 5203 Broadway St, Indianapolis, IN 46220-3135 Ph: (317) 504-9911 |
James Braden Millward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1801 N Senate Blvd Mpc2#330, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940 |
Cortnie N Yoder, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1402 E County Line Rd, Indianapolis, IN 46227 Phone: 317-887-7805 |
Kaitlin Eileen Ziedonis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5330 E Stop 11 Rd, Indianapolis, IN 46237 Phone: 317-893-1900 Fax: 317-893-1901 |
Olivia Cecile Cabanban, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7525 E 82nd St Ste A, Indianapolis, IN 46256 Phone: 317-621-1670 |
Rachel Hayden, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8038 Claridge Rd, Indianapolis, IN 46260 Phone: 317-518-8562 |
Amber Seaman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-338-2345 |
Allyson Nugent, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1050 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-274-7447 |