| Kathleen Keithley, PA-C | |
|
340 W Lincoln St, Belleville, IL 62220-1900 | |
| (618) 233-6044 | |
| (618) 233-3287 |
| Full Name | Kathleen Keithley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 340 W Lincoln St, Belleville, Illinois |
| 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 |
|---|---|---|---|
| 1760457352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2003029518 (Missouri) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 085-002555 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Gastroenterology Llc | 8628121795 | 66 |
| Entity Name | Mercy Clinic Gastroenterology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528295334 PECOS PAC ID: 8628121795 Enrollment ID: O20090806000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Keithley, PA-C 340 W Lincoln St, Belleville, IL 62220-1900 Ph: (618) 233-6044 | Kathleen Keithley, PA-C 340 W Lincoln St, Belleville, IL 62220-1900 Ph: (618) 233-6044 |
Mattison N Perez, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7700 |
Kim C Wrigley, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 |
Lance L Lane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7700 |
Miss Kristina Klaverkamp, MSPA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W Ste 716, Belleville, IL 62223 Phone: 618-355-0880 |
Bessy Sarahi Villafranca-escobar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste W1, Belleville, IL 62226 Phone: 618-233-3066 Fax: 618-233-3180 |
Kevin Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371 |
Molly Claire Wade, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226 Phone: 618-222-1020 |