Diane B Keckley, PA - Physician Assistant in Wethersfield, CT

Diane B Keckley, PA is a Physician Assistant based in Wethersfield, Connecticut. Diane B Keckley is licensed to practice in Connecticut (license number 001067) and her current practice location is 1025 Silas Deane Hwy, Wethersfield, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 696-2400.

NPI number for Diane B Keckley is 1386621829 and her current mailing address is Po Box 1086, Hartford Medical Group, Wilbraham, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386621829.

Contact Information

Diane B Keckley, PA
1025 Silas Deane Hwy,
Wethersfield, CT 06109-4229
(860) 696-2400
(860) 696-2410



Provider's Profile

Full NameDiane B Keckley
GenderFemale
SpecialityPhysician Assistant
Location1025 Silas Deane Hwy, Wethersfield, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386621829
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 01/06/2010

Medical Identifiers

Medical identifiers for Diane B Keckley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386621829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 001067 (Connecticut)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. Diane B Keckley 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 AddressPractice Location Address
Diane B Keckley, PA
Po Box 1086, Hartford Medical Group,
Wilbraham, MA 01095-1086

Ph: (508) 595-0531
Diane B Keckley, PA
1025 Silas Deane Hwy,
Wethersfield, CT 06109-4229

Ph: (860) 696-2400

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Physician Assistant Nurses in Wethersfield, CT

Beth Anne Dean, MS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Silas Deane Hwy Ste 101, Wethersfield, CT 06109
Phone: 877-707-4442    
Mrs. Nataliya Krayzman,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 40 Mayfield Rd, Wethersfield, CT 06109
Phone: 860-392-9897    
Chelsey Paholski Gavelek, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1290 Silas Deane Hwy, Wethersfield, CT 06109
Phone: 860-972-6977    
Shannon Carey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109
Phone: 860-258-3470    Fax: 860-571-6800
Nicole L Hettrich, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Silas Deane Hwy, Wethersfield, CT 06109
Phone: 860-696-2400    Fax: 860-696-2410
Alexandra Zhakov,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109
Phone: 860-258-3477    
Christian Keene,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1290 Silas Deane Highway, Hartford Healthcare Cvo, Wethersfield, CT 06109
Phone: 860-972-9093    Fax: 860-972-7040

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