Keith M Duryea, CNS | |
102 N Magdalen St, San Angelo, TX 76903-5400 | |
(325) 658-1511 | |
Not Available |
Full Name | Keith M Duryea |
---|---|
Gender | Male |
Speciality | Certified Clinical Nurse Specialist (cns) |
Experience | 26 Years |
Location | 102 N Magdalen St, San Angelo, Texas |
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 |
---|---|---|---|
1932173473 | NPI | - | NPPES |
088296101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364S00000X | Clinical Nurse Specialist | 525231 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shannon Medical Center | San angelo, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shannon Clinic | 0840103727 | 411 |
Entity Name | Shannon Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
---|---|
Keith M Duryea, CNS Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Keith M Duryea, CNS 102 N Magdalen St, San Angelo, TX 76903-5400 Ph: (325) 658-1511 |
Christa D Martin, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: Box 11019 Asu, 1901 Johnson Street, San Angelo, TX 76909 Phone: 325-942-2171 Fax: 325-942-2133 | |
Susan C Wilkinson, PHD, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2018 Pulliam St, San Angelo, TX 76905 Phone: 325-659-7290 Fax: 325-659-7291 | |
Wanda H Lange, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511 | |
Kristin F Ramirez, ACNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-481-2375 | |
Jennifer D Slaven, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 257-472-2853 | |
Rachael A Conover, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2165 | |
Mary Ellen Wilson, CNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3350 Executive Dr, Suite 100, San Angelo, TX 76904 Phone: 325-245-4501 Fax: 325-245-4508 |