Diane B Keckley (NPI# 1386621829, PAC ID# 0648396846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386621829 |
| PAC ID by PECOS | 0648396846 |
| Professional Enrollment ID | I20100924000858 |
| Full Name | Diane B Keckley |
| Organization Legal Name | MHS PRIMARY CARE, INC |
| Address |
896 Washington St Middletown CT 06457-2912 |
| Phone Number | 8607883632 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082507371 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 896 Washington St, Middletown, CT 06457-2912 | 8607883632 | MHS PRIMARY CARE, INC |
| 1687 Boston Post Rd, Old Saybrook, CT 06475-1608 | 8606615976 | MHS PRIMARY CARE, INC |
| Organization Legal Name | MHS PRIMARY CARE, INC |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal M Marquez | Family Medicine | Mhs Primary Care, Inc | 1687 Boston Post Rd, Old Saybrook, CT 06475-1608 |
| Stephen Daniel Socha | Nurse Practitioner | Mhs Primary Care, Inc | 150 Main St, Chester, CT 06412-1340 |
| Chia-chi Wang | Surgical Oncology | Mhs Primary Care, Inc | 520 Saybrook Rd, Suite S100, Middletown, CT 06457-4700 |
| Monika E Kieltyka | Nurse Practitioner | Mhs Primary Care, Inc | 540 Saybrook Rd, Middletown, CT 06457-4711 |
| Zoe G Mcglamery | Nurse Practitioner | Mhs Primary Care, Inc | 146 Samson Rock Dr, Madison, CT 06443-3018 |
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Andrea M Malon | General Surgery | Mhs Primary Care, Inc | 1353 Boston Post Rd, Madison, CT 06443-3445 |
| Louise M Maloney | Family Medicine | Mhs Primary Care, Inc | 9 Wildwood Medical Ctr, Unit 2, Essex, CT 06426-1155 |
| Danielle M Grillo | Nurse Practitioner | Mhs Primary Care, Inc | 146 Samson Rock Dr, Madison, CT 06443-3018 |
| Megin K Iaccarino | Nurse Practitioner | Mhs Primary Care, Inc | 146 Samson Rock Dr, Madison, CT 06443-3018 |
| Street Address |
896 WASHINGTON ST |
| City | MIDDLETOWN |
| State | CT |
| Zip | 06457-2912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Zachary R Lavender | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Katrina Bezak | Nurse Practitioner | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Ivonne Juarez-chavez | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Joseph R Castro | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Isabel M Brodersen | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Sarah C Orlando | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Jessica Paulson | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Amy R Scheel | Nurse Practitioner | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Nicole M Kirley | Nurse Practitioner | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis R Labbadia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Candito C Carroccia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| William F Weiss | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Janet S Shapiro-weiss | Psychiatry | 7 Spring St, Middletown, CT 06457-2238 | |
| Paige Abby Mcmullen | Clinical Social Worker | 136 Lincoln St, Middletown, CT 06457-2641 | |
| Tiffany T Perri | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jola Rzegocki | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jenny Y Cha | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Michael Vajda | Chiropractic | 761 Washington St, Middletown, CT 06457-2903 | |
| Megan E Mccann | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Find all physicians in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MIDDLETOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Diane B Keckley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.