| Keegan Corbett, | |
|
108 Commodore Cir, Port Jefferson Station, NY 11776-2266 | |
| (802) 681-8317 | |
| Not Available |
| Full Name | Keegan Corbett |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 108 Commodore Cir, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659111334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 744385-01 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 151335 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore - Lij Anesthesiology, Pc | 1153602453 | 937 |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Keegan Corbett, 108 Commodore Cir, Port Jefferson Station, NY 11776-2266 Ph: () - | Keegan Corbett, 108 Commodore Cir, Port Jefferson Station, NY 11776-2266 Ph: (802) 681-8317 |
Ruth Quinones-weisbrod, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3 Fairway Dr, Port Jefferson Station, NY 11776 Phone: 631-626-3313 | |
Mrs. Laura Pavel Ketelsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 833-660-7246 |