Dr Robert Nicolas Keenan, MD | |
1374 S Mission Rd Ste 408, Fallbrook, CA 92028-4006 | |
(951) 698-4650 | |
Not Available |
Full Name | Dr Robert Nicolas Keenan |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 23 Years |
Location | 1374 S Mission Rd Ste 408, Fallbrook, California |
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 |
---|---|---|---|
1558325654 | NPI | - | NPPES |
YYY49687Y | Other | CA | SOUTHERN BLUE SHIELD |
00A797420 | Medicaid | CA | |
ZZZ27707Z | Other | CA | NORTHERN BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A79742 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Adventist Health Tehachapi Valley | Tehachapi, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventist Health Medical Center Tehachapi | 1456646629 | 70 |
Barton Medical Foundation | 5395127682 | 66 |
Entity Name | Tahoe Carson Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Acute Care Surgery Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
Entity Name | Arch Health Partners Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649500141 PECOS PAC ID: 9931239027 Enrollment ID: O20100616000715 |
Entity Name | Kern County Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376623538 PECOS PAC ID: 4688964521 Enrollment ID: O20160915002690 |
Entity Name | Adventist Health Medical Center Tehachapi |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275538530 PECOS PAC ID: 1456646629 Enrollment ID: O20170124000729 |
Entity Name | Barton Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Nicolas Keenan, MD 1374 S Mission Rd Ste 408, Fallbrook, CA 92028-4006 Ph: (951) 698-4650 | Dr Robert Nicolas Keenan, MD 1374 S Mission Rd Ste 408, Fallbrook, CA 92028-4006 Ph: (951) 698-4650 |
Dr. Melvyn J Michaelian, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 521 E Elder St, Ste 205, Fallbrook, CA 92028 Phone: 760-728-6106 Fax: 760-728-4547 |