Dr Jack K Keene, MD | |
11700 N Meridian St, Carmel, IN 46032-4656 | |
(317) 688-3140 | |
(317) 688-2664 |
Full Name | Dr Jack K Keene |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 11700 N Meridian St, Carmel, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184667644 | NPI | - | NPPES |
100378870 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01027792A (Indiana) | Primary |
Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack K Keene, MD 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Dr Jack K Keene, MD 11700 N Meridian St, Carmel, IN 46032-4656 Ph: (317) 688-3140 |
Daniel H Slubowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11700 N Meridian St, Carmel, IN 46032 Phone: 317-688-3149 | |
Dr. Paula Lange, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3252 Tantara Bnd, Carmel, IN 46032 Phone: 317-733-8252 | |
Dr. Matthew N Negaard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10767 Illinois St Ste 3000, Carmel, IN 46032 Phone: 317-817-1200 Fax: 317-817-1220 | |
Sean Tokita, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13500 N Meridian St, Carmel, IN 46032 Phone: 626-354-3195 | |
Dr. Rachel Marie White, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11700 N Meridian St, Carmel, IN 46032 Phone: 317-688-3140 | |
Dr. Rodney Eugene Corson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10921 Lakeview Dr, Carmel, IN 46033 Phone: 317-844-8203 |