Mr Charles R Mckeen Iii, MD | |
421 W 1st St, Bloomington, IN 47403-2403 | |
(812) 332-3531 | |
(812) 332-4673 |
Full Name | Mr Charles R Mckeen Iii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 50 Years |
Location | 421 W 1st St, Bloomington, Indiana |
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 |
---|---|---|---|
1144310301 | NPI | - | NPPES |
100183460 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01030763A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles R Mckeen Iii, MD Po Box 1329, Bloomington, IN 47402-1329 Ph: (812) 353-2154 | Mr Charles R Mckeen Iii, MD 421 W 1st St, Bloomington, IN 47403-2403 Ph: (812) 332-3531 |
Terrence M Greene, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 419 W 1st St, Bloomington, IN 47403 Phone: 812-336-7879 Fax: 812-336-7881 | |
Duangnapa S. Cuddy, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 | |
Dr. Luke Portwood Fife, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 Fax: 812-355-6912 | |
Dr. Jason Kasza, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-2750 Fax: 812-355-2751 | |
Dr. Lindita N Coku, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-334-5081 Fax: 812-334-5091 | |
Dr. Raghunandan Lakshmana Motaganahalli, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-355-6900 Fax: 812-339-1292 |