| Kaylee Keener, PA-C | |
|
4305 S Pleasant Crossing Blvd Ste 3, Rogers, AR 72758-1495 | |
| (479) 278-7414 | |
| (479) 278-7157 |
| Full Name | Kaylee Keener |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4305 S Pleasant Crossing Blvd Ste 3, Rogers, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710443544 | NPI | - | NPPES |
| 1F5971 | Other | TX | MEDICARE |
| P02599441 | Other | TX | MCRR |
| 200911220A | Medicaid | OK | |
| 410600702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13490 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 4823 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | PA-930 (Arkansas) | Primary |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaylee Keener, PA-C 1222 W Poplar St, Rogers, AR 72756-4246 Ph: (501) 441-6522 | Kaylee Keener, PA-C 4305 S Pleasant Crossing Blvd Ste 3, Rogers, AR 72758-1495 Ph: (479) 278-7414 |
Amanda Marie Eichholz, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-381-2694 |
Mrs. Grace Taylor Fulkerson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2029 S Hampton Pl, Rogers, AR 72758 Phone: 479-250-0289 |
Alexa Blaire Grand, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S 52nd St, Rogers, AR 72758 Phone: 479-254-9662 Fax: 806-701-5845 |
Megan Breanna Sanchez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 597 S Horsebarn Rd, Rogers, AR 72758 Phone: 479-254-9662 |
Kindle Diane Simon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 S. 52nd St, Rogers, AR 72758 Phone: 479-271-9607 Fax: 479-271-2133 |
Jaren Jurian Hernandez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 |
Debra Lou Tooker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 808 S 52nd St, Rogers, AR 72758 Phone: 479-587-1700 Fax: 479-587-1366 |