Roberta Marie Killeen, MD is a
Pathology - Anatomic Pathology physician based in Holiday, Florida. Roberta Marie Killeen is licensed to practice in Florida (license number ME58665) and her current practice location is 2520 Us Highway 19, Holiday, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 934-6905.
NPI number for Roberta Marie Killeen is 1245222447 and her current mailing address is 2520 Us Highway 19, Holiday, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245222447.
Physician's Profile
| Full Name | Roberta Marie Killeen |
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| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology |
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| Location | 2520 Us Highway 19, Holiday, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245222447
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 09/19/2011
Medical Identifiers
Medical identifiers for Roberta Marie Killeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245222447 | NPI | - | NPPES |
| 052961300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0101X | Pathology - Anatomic Pathology | ME58665 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roberta Marie Killeen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Roberta Marie Killeen, MD
2520 Us Highway 19,
Holiday, FL 34691-3846
Ph: (727) 934-6905 | Roberta Marie Killeen, MD
2520 Us Highway 19,
Holiday, FL 34691-3846
Ph: (727) 934-6905 |
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