| Dr Glen E Keller, DC | |
|
10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 | |
| (740) 467-2486 | |
| (740) 467-2498 |
| Full Name | Dr Glen E Keller |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 37 Years |
| Location | 10400 Lancaster Newark Rd Ne, Millersport, Ohio |
| 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 |
|---|---|---|---|
| 1730169897 | NPI | - | NPPES |
| 665855 | Other | OH | AMERICAN CHIRO NTWRK(ACN) |
| 000000509974 | Other | OH | BLUE CROSS |
| 11176716 | Other | OH | CAQH |
| 2474059 | Medicaid | OH | |
| 1003201 | Other | OH | AMERICAN SPECIALTY HEALTH |
| 5585251 | Other | OH | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3369 (Ohio) | Primary |
| 111N00000X | Chiropractor | CHIA 576 (Idaho) | Secondary |
| Provider Name | Keller Family Chiropractic, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184781171 PECOS PAC ID: 7517061997 Enrollment ID: O20070323000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glen E Keller, DC 10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 Ph: (740) 467-2486 | Dr Glen E Keller, DC 10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 Ph: (740) 467-2486 |
Keller Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 10400 Lancaster Newark Rd Ne, Millersport, OH 43046 Phone: 740-467-2486 Fax: 740-467-2498 | |
Anton Leroy Keller, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 10400 Lancaster Newark Rd Ne, Millersport, OH 43046 Phone: 740-467-3133 |