Charles Lewis Kieffer, MD | |
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
(210) 916-4141 | |
Not Available |
Full Name | Charles Lewis Kieffer |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053842831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 67041 (Minnesota) | Secondary |
207P00000X | Emergency Medicine | T5944 (Texas) | Primary |
207P00000X | Emergency Medicine | R4465 (Kentucky) | Secondary |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
Entity Name | Mayo Clinic Health System-fairmont |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
Entity Name | Mayo Clinic Health System St James |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023177730 PECOS PAC ID: 9537170352 Enrollment ID: O20060509000021 |
Entity Name | Mayo Clinic Health System St James |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1639198732 PECOS PAC ID: 9537170352 Enrollment ID: O20080108000344 |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1740256668 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003933 |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1124035282 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003939 |
Mailing Address | Practice Location Address |
---|---|
Charles Lewis Kieffer, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (952) 463-5575 | Charles Lewis Kieffer, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-4141 |
Zachary Sletten, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9582 | |
Lloyd I Tannenbaum, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Mche/me, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-2500 | |
Dr. William Tyler Davis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5512 | |
Dr. Richard L Dagrosa Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-8741 | |
Dr. Samantha Boyd, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4141 | |
Dr. Nicholas Stuart Thompson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-8760 |