Theresa Keegan, CRNA | |
1878 Mayo Dr, Tavares, FL 32778-4320 | |
(352) 508-5401 | |
Not Available |
Full Name | Theresa Keegan |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1878 Mayo Dr, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619797537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209030629 (Illinois) | Primary |
Entity Name | University Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073558136 PECOS PAC ID: 4183512080 Enrollment ID: O20040415000513 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
---|---|
Theresa Keegan, CRNA 25212 Balmoral Dr, Shorewood, IL 60404-8371 Ph: (815) 341-3544 | Theresa Keegan, CRNA 1878 Mayo Dr, Tavares, FL 32778-4320 Ph: (352) 508-5401 |
Aleen Joy Mcgowan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Sabine Cadet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3487 | |
Mr. Donald Keith Martino, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 352-589-3487 | |
Grant Barry Mcgee, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Jezaira Vargas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 407-667-0444 Fax: 407-667-4338 | |
Krista Holder, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 407-667-0444 | |
Christopher Thomas Jacob, STUDENT Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 |