| Keeley Diane Lantrip, | |
|
1500 S Main St, Fort Worth, TX 76104-4941 | |
| (817) 321-0404 | |
| Not Available |
| Full Name | Keeley Diane Lantrip |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1500 S Main St, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811524945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13694 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
| Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of North Texas Pa | 7911897301 | 295 |
| Mailing Address | Practice Location Address |
|---|---|
| Keeley Diane Lantrip, 816 W Cannon St, Fort Worth, TX 76104-3146 Ph: (817) 321-0404 | Keeley Diane Lantrip, 1500 S Main St, Fort Worth, TX 76104-4941 Ph: (817) 321-0404 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 | |
Shane Kelleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7840 Fax: 682-885-7856 | |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 | |
Benjamin Craig, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St Fl 4, Fort Worth, TX 76104 Phone: 682-885-2500 | |
Sharyl Workman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 | |
Mrs. Audrey Raquel Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Hemphill St, Fort Worth, TX 76104 Phone: 817-332-4060 Fax: 817-332-2304 |