Shannon Keck, | |
175 Madison Ave, Mount Holly, NJ 08060-2038 | |
(609) 267-0700 | |
Not Available |
Full Name | Shannon Keck |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 175 Madison Ave, Mount Holly, New Jersey |
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 |
---|---|---|---|
1881949683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 26NR15104200 (New Jersey) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26NJ00417900 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coastal Carolina Hospital | Hardeeville, SC | Hospital |
Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
Colleton Medical Center | Walterboro, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Low Country Anesthesia, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417928268 PECOS PAC ID: 8729063797 Enrollment ID: O20040623000371 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Mailing Address | Practice Location Address |
---|---|
Shannon Keck, 15 Harrogate Ct, Sewell, NJ 08080-2734 Ph: (609) 617-9047 | Shannon Keck, 175 Madison Ave, Mount Holly, NJ 08060-2038 Ph: (609) 267-0700 |
Jennifer L Swope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave Fl 1, Mount Holly, NJ 08060 Phone: 609-914-6000 | |
Brunilda Plaku, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-1660 Fax: 609-261-4454 | |
Kathleen Steinberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 120 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-1160 | |
Marian Polius-mclean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Madison Ave, Suite D, Mount Holly, NJ 08060 Phone: 609-261-1660 Fax: 609-261-1779 | |
Doris M. Knowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Avenue, Mount Holly, NJ 08060 Phone: 609-261-1660 Fax: 609-261-4454 | |
Julie Le, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 175 Madison Ave Fl 1, Mount Holly, NJ 08060 Phone: 609-914-6000 | |
Rita L. Burtcel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 120 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-1160 |