Look up the most recent NPI and PECOS records

Carolyn Sy Keller

Hospitalist

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as CAROLYN KELLER.

Based on the most recent information from CMS, provider Carolyn Sy Keller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:59 AM.

Profile Details

Provider ID
1427323583
Provider Type
Individual
Full Name
Keller, Carolyn Sy
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/21/2012
Last Updated
6/26/2018

Contact Information

Practice Location

325 9th Ave, Seattle, WA 98104

(206) 744-3000

Unlisted Fax

Mailing Location

PO Box 50095, Seattle, WA 98145-5095

(206) 520-5700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License MD60483506 Washington
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD60483506 Washington

Provider Identifiers

ID	Description	Issuer
ID 1427323583	Description Medicaid	Issuer Unlisted Washington

Carolyn Sy Keller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ashbaugh, Camille Whiting

Cho, Alvin Rim

Marcinkevicius, Monika

Fair, Katherine Margaret

Hwang, David W

Abbott, Collette

Thompson, Daniel Anthony

Stepczynski, Anna H

Mattes, Zachary Charles

Stephens, Rebecca Keenan