Shelly D Keller, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Winnebago, Missouri. She graduated from medical school in 1998 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
120 Cherokee Ln, Lake Winnebago, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 623-9711.
Shelly D Keller is licensed to practice in Missouri (license number 2009014918) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063642700.
Healthcare Provider's Profile
| Full Name | Shelly D Keller |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 28 Years |
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| Location | 120 Cherokee Ln, Lake Winnebago, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shelly D Keller graduated from medical school in 1998
NPI Data:
- NPI Number: 1063642700
- Provider Enumeration Date: 07/15/2009
- Last Update Date: 07/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 9032263306
- Enrollment ID: I20241030004023
Medical Identifiers
Medical identifiers for Shelly D Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063642700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 2009014918 (Missouri) | 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. Shelly D 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 |
Shelly D Keller, LCSW 120 Cherokee Ln, Lake Winnebago, MO 64034-9304 Ph: (816) 623-9711 | Shelly D Keller, LCSW 120 Cherokee Ln, Lake Winnebago, MO 64034-9304 Ph: (816) 623-9711 |
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