| Keller & Goodman Md, Pa | |
|
1879 Nightingale Ln Suite C-2 Tavares FL 32778-4363 | |
| (352) 742-7776 | |
| (352) 742-7750 |
| Full Name | Keller & Goodman Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1879 Nightingale Ln, Tavares, Florida |
| Authorized Official Name and Position | Jeffrey Alan Goodman (OWNER) |
| Authorized Official Contact | 3527427776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keller & Goodman Md, Pa 1879 Nightingale Ln Suite C-2 Tavares FL 32778-4363 Ph: (352) 742-7776 | Keller & Goodman Md, Pa 1879 Nightingale Ln Suite C-2 Tavares FL 32778-4363 Ph: (352) 742-7776 |
| NPI Number | 1225168701 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 07/08/2008 |
| Medicare PECOS PAC ID | 9133253560 |
|---|---|
| Medicare Enrollment ID | O20100819001189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225168701 | NPI | - | NPPES |
| 375405700 | Medicaid | FL | |
| 25425 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME66294 (Florida) | Primary |
| Provider Name | Marcus Carlisle Bethea |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659308773 PECOS PAC ID: 9739143447 Enrollment ID: I20050523000865 |
| Provider Name | Deborah L Zeagler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417991746 PECOS PAC ID: 2264411966 Enrollment ID: I20050825000786 |
| Provider Name | Jeffrey A Goodman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871698613 PECOS PAC ID: 5496879173 Enrollment ID: I20100901000931 |
| Provider Name | Chris Kechriotis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891721627 PECOS PAC ID: 4284698994 Enrollment ID: I20101027000876 |
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Celestino Santi Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 E Burleigh Blvd, Tavares, FL 32778 Phone: 352-742-1500 Fax: 352-742-2530 | |
Happy Camper Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Salk Ave, Tavares, FL 32778 Phone: 352-745-6753 | |
Ellis Integrative Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1865 Nightingale Ln Ste B, Tavares, FL 32778 Phone: 352-457-1936 | |
Express Care Of Lake County Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Nightingale Ln, Tavares, FL 32778 Phone: 352-742-1500 Fax: 352-742-2530 | |
Matthew P. Castner, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 407-886-8164 |