Mrs Patricia P Keller, CSA is a
Specialist/technologist, Other - Surgical Assistant based in Flowery Branch, Georgia. Mrs Patricia P Keller is licensed to practice in Georgia (license number 92821) and her current practice location is
6144 Stella Light Dr, Flowery Branch, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 940-0185.
NPI number for Mrs Patricia P Keller is 1134278419 and her current mailing address is Po Box 510, Flowery Branch, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134278419.
Provider's Profile
| Full Name | Mrs Patricia P Keller |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist, Other - Surgical Assistant |
|---|
| Location | 6144 Stella Light Dr, Flowery Branch, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134278419
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 11/07/2022
Medical Identifiers
Medical identifiers for Mrs Patricia P Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134278419 | NPI | - | NPPES |
| 92821 | Other | GA | NBSTSA CERTIFICATION CST/CSFA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 92821 (Georgia) | 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. Mrs Patricia P Keller 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 |
|---|
Mrs Patricia P Keller, CSA
Po Box 510,
Flowery Branch, GA 30542-0009
Ph: (770) 940-0185 | Mrs Patricia P Keller, CSA
6144 Stella Light Dr,
Flowery Branch, GA 30542-3451
Ph: (770) 940-0185 |
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