| Mr Keith Alan Deardorff, | |
|
4763 Poleplant Dr, Colorado Springs, CO 80918-5255 | |
| (850) 305-4495 | |
| Not Available |
| Full Name | Mr Keith Alan Deardorff |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 4763 Poleplant Dr, Colorado Springs, Colorado |
| 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 |
|---|---|---|---|
| 1801131057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN.0996683-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | COA.14807.NP (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maher Rehab Solutions Llc | 2567875545 | 3 |
| Entity Name | Maher Rehab Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154935286 PECOS PAC ID: 2567875545 Enrollment ID: O20210112002000 |
| Entity Name | Transtreme LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003290453 PECOS PAC ID: 9739574039 Enrollment ID: O20221018003006 |
| Entity Name | Maher Pain & Medical Rehabilitation Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154218980 PECOS PAC ID: 7214441062 Enrollment ID: O20250703004116 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Alan Deardorff, 4763 Poleplant Dr, Colorado Springs, CO 80918-5255 Ph: (850) 305-4495 | Mr Keith Alan Deardorff, 4763 Poleplant Dr, Colorado Springs, CO 80918-5255 Ph: (850) 305-4495 |
Barbara J Starkey, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Swope Ave, Colorado Springs, CO 80909 Phone: 719-634-4746 Fax: 719-634-5024 |
Melinda Mcclendon, RN, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 405, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 512-275-2833 |
Jennifer Turnbaugh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3425 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-265-4412 Fax: 719-888-1739 |
Erika Wittler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6945 Tutt Blvd, Colorado Springs, CO 80923 Phone: 713-493-6437 Fax: 415-252-7176 |
Sonia Singh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-7000 |
Mrs. Brittany Ann Omer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1465 Kelly Johnson Blvd Ste 310, Colorado Springs, CO 80920 Phone: 719-726-6573 Fax: 719-698-7879 |
Paige Berke, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9362 Grand Cordera Pkwy Ste 210, Colorado Springs, CO 80924 Phone: 719-550-5180 |