Shannette Keeler, LCSW, PC is a medicare enrolled "Social Worker - Clinical" provider in Plain City, Utah. Her current practice location is
4184 W 1975 N, Plain City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 732-1102.
Shannette Keeler is licensed to practice in Utah (license number 135206-3501) 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 1255497376.
Healthcare Provider's Profile
| Full Name | Shannette Keeler |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4184 W 1975 N, Plain City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255497376
- Provider Enumeration Date: 01/01/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6406822923
- Enrollment ID: I20040907000840
Medical Identifiers
Medical identifiers for Shannette Keeler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255497376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 135206-3501 (Utah) | 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. Shannette Keeler 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 |
Shannette Keeler, LCSW, PC 4184 W 1975 N, Plain City, UT 84404-9716 Ph: (801) 732-1102 | Shannette Keeler, LCSW, PC 4184 W 1975 N, Plain City, UT 84404-9716 Ph: (801) 732-1102 |
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