| Brett L Keller, DO | |
|
1505 Eastland Dr, Suite 220, Bloomington, IL 61701-3534 | |
| (309) 662-2278 | |
| (309) 663-2956 |
| Full Name | Brett L Keller |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 25 Years |
| Location | 1505 Eastland Dr, Bloomington, Illinois |
| 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 |
|---|---|---|---|
| 1407870876 | NPI | - | NPPES |
| 133229700 | Other | IL | US DEPARTMENT OF LABOR |
| 678434 | Other | IL | HEALTHLINK |
| 0361100898 | Other | IL | OSF CARE ADVANTAGE |
| 036110898 | Other | IL | UNITED HEALTHCARE |
| 036110898 1 | Medicaid | IL | |
| 5715378 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036110898 | Other | IL | OSF CARE PREFERRED |
| 1302850001 | Other | IL | ADMINISTAR FEDERAL |
| IL0103 | Other | IL | JOHN DEERE HEALTH |
| P00200415 | Other | IL | MEDICARE METRAHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036110898 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gibson Community Hospital | Gibson city, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Warner Hospital And Health Services | Clinton, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gibson Community Hospital Association | 5092703124 | 97 |
| Central Illinois Orthopedic Surgery Ii Llc. | 5991705428 | 4 |
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| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
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| Entity Name | Central Illinois Orthopedic Surgery Ii Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508889965 PECOS PAC ID: 5991705428 Enrollment ID: O20070108000384 |
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| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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| Mailing Address | Practice Location Address |
|---|---|
| Brett L Keller, DO 1505 Eastland Dr, Suite 220, Bloomington, IL 61701-3534 Ph: (309) 662-2278 | Brett L Keller, DO 1505 Eastland Dr, Suite 220, Bloomington, IL 61701-3534 Ph: (309) 662-2278 |
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Dr. Judy Lee Wright, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1006 E Jefferson St, Bloomington, IL 61701 Phone: 309-828-7876 | |
Dr. Elizabeth K Plocher, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-5711 | |
Lucas Casey Armstrong, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Lane, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-5711 | |
Mr. Robert K Seidl, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2406 E. Empire St., Bloomington, IL 61704 Phone: 309-663-9300 Fax: 309-661-1670 | |
Dr. Joseph Kaysing Newcomer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Lane, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-5711 | |
Nicole Christine Snodgrass, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-4529 | |
Tyler Jordan Neal, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2406 E Empire St, Bloomington, IL 61704 Phone: 309-663-9300 Fax: 309-664-1382 |