Kristen Mary Keller, LCSW in Fort Lee, NJ - Medicare Social Worker Provider

Kristen Mary Keller, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Lee, New Jersey. Her current practice location is 440 West St Ste 312, Fort Lee, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 835-3804.

Kristen Mary Keller is licensed to practice in New Jersey (license number 44SC05929500) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730706490.

Contact Information

	Kristen Mary Keller, LCSW
	440 West St Ste 312, Fort Lee, NJ 07024-5028
	(201) 835-3804
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Mary Keller
Gender	Female
Speciality	Social Worker - Clinical
Location	440 West St Ste 312, Fort Lee, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730706490
Provider Enumeration Date: 06/29/2020
Last Update Date: 06/29/2020

Medicare PECOS Information:

PECOS PAC ID: 1355871112
Enrollment ID: I20250207002803

Medical Identifiers

Medical identifiers for Kristen Mary Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730706490	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC05929500 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Mary Keller allows following entities to bill medicare on her behalf.

Entity Name	Zephyr Behavioral Health And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386480226 PECOS PAC ID: 3870034507 Enrollment ID: O20240923000741

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. Kristen Mary Keller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristen Mary Keller, LCSW 709 Hickory Hill Rd, Wyckoff, NJ 07481-1623 Ph: (201) 835-3804	Kristen Mary Keller, LCSW 440 West St Ste 312, Fort Lee, NJ 07024-5028 Ph: (201) 835-3804

Reviews and Comments

Social Worker in Fort Lee, NJ

Youngjae Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2185 Lemoine Ave, Unit 1c, Fort Lee, NJ 07024 Phone: 877-959-8180 Fax: 866-535-3188
Mr. Steven Barry Gold, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 810 Abbott Blvd Ste 204, Fort Lee, NJ 07024 Phone: 201-446-0509 Fax: 201-613-4325
Marilyn R Levy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1640 Anderson Ave, Fort Lee, NJ 07024 Phone: 201-944-8635
Ms. Naomi Fox, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2200 N Central Rd, Apt 11t, Fort Lee, NJ 07024 Phone: 201-592-6989
Mr. Scott M Banford, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1590 Anderson Ave, 12-k, Fort Lee, NJ 07024 Phone: 201-242-0221 Fax: 201-242-0221
Judith Fichtenholtz, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1567 Palisades Ave, Suite 2c, Fort Lee, NJ 07024 Phone: 201-886-8096
Ilse M Gomez-avila, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Westgate Dr, Fort Lee, NJ 07024 Phone: 646-246-7354

Kristen Mary Keller, LCSW - Medicare Clinical Social Worker in Fort Lee, NJ