Mr Keith Wesley Fort, PA-C | |
2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500 | |
(201) 943-9100 | |
(201) 943-7308 |
Full Name | Mr Keith Wesley Fort |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 16 Years |
Location | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
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 |
---|---|---|---|
1487888061 | NPI | - | NPPES |
162546NMS | Other | NJ | MEDICARE PTAN |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 660 |
Mailing Address | Practice Location Address |
---|---|
Mr Keith Wesley Fort, PA-C 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678 | Mr Keith Wesley Fort, PA-C 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500 Ph: (201) 943-9100 |
Teresa Cleaves, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 804 River Mist Dr, Jonesboro, GA 30238 Phone: 770-985-4257 Fax: 770-985-4258 | |
Mr. Jerome A Maislis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649 | |
Rebecca Mcphail, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7823 Spivey Station Blvd, Jonesboro, GA 30236 Phone: 770-996-1122 | |
Stephanie Summerhill-brcka, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966 | |
Karen Dixon, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Fieldstone Pkwy, Jonesboro, GA 30236 Phone: 678-499-5103 Fax: 770-629-5554 | |
Meghan C Campbell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Ctr, Jonesboro, GA 30236 Phone: 770-603-3649 |