Dr Keith Gregory Chisholm, MD | |
10751 Maple Creek Dr, Suite 103, Trinity, FL 34655-4418 | |
(727) 372-0400 | |
(727) 372-0403 |
Full Name | Dr Keith Gregory Chisholm |
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Gender | Male |
Speciality | General Surgery |
Experience | 28 Years |
Location | 10751 Maple Creek Dr, Trinity, Florida |
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 |
---|---|---|---|
1164520375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME83998 (Florida) | Primary |
Facility Name | Location | Facility Type |
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Medical Center Of Trinity | Trinity, FL | Hospital |
Entity Name | Surgical Specialists Of Trinity, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982968541 PECOS PAC ID: 5294991840 Enrollment ID: O20120725000908 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Gregory Chisholm, MD 3152 Little Rd, Suite 311, Trinity, FL 34655-1864 Ph: (727) 372-0400 | Dr Keith Gregory Chisholm, MD 10751 Maple Creek Dr, Suite 103, Trinity, FL 34655-4418 Ph: (727) 372-0400 |
Kristina Nakonechnaya Soltes, DO Surgery Medicare: Medicare Enrolled Practice Location: 9332 State Road 54 Ste 400, Trinity, FL 34655 Phone: 727-372-4779 Fax: 727-372-4559 | |
Dr. Paula A Lundgren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2102 Trinity Oaks Blvd # 205, Trinity, FL 34655 Phone: 727-462-2131 | |
Dr. Alene Jean Wright, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9332 State Road 54 Ste 400, Trinity, FL 34655 Phone: 727-372-4779 Fax: 727-372-4559 | |
Jamii St Julien, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9332 State Road 54 Ste 303, Trinity, FL 34655 Phone: 727-375-8313 Fax: 727-375-8321 |