Dr Carissa Jean Keller, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Hackettstown, New Jersey. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Psychological Associates Of North Jersey Llc and her current practice location is
108 Bilby Rd Ste 305, Hackettstown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 979-1144.
Dr Carissa Jean Keller is licensed to practice in New Jersey (license number 35SI00647100) 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 1366856502.
Healthcare Provider's Profile
| Full Name | Dr Carissa Jean Keller |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 108 Bilby Rd Ste 305, Hackettstown, New Jersey |
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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. |
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Medical Education and Training:
- Dr Carissa Jean Keller graduated from medical school in 2017
NPI Data:
- NPI Number: 1366856502
- Provider Enumeration Date: 06/16/2014
- Last Update Date: 04/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103214911
- Enrollment ID: I20211028000384
Medical Identifiers
Medical identifiers for Dr Carissa Jean Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366856502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 35SI00647100 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Psychological Associates Of North Jersey Llc | 2264658418 | 6 |
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. Dr Carissa Jean Keller allows following entities to bill medicare on her behalf.
| Entity Name | Psychological Associates Of North Jersey Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396802682
PECOS PAC ID: 2264658418
Enrollment ID: O20140723001698 |
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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. Dr Carissa Jean 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 |
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Dr Carissa Jean Keller, PSYD
108 Bilby Rd Ste 305,
Hackettstown, NJ 07840-4174
Ph: (908) 979-1144 | Dr Carissa Jean Keller, PSYD
108 Bilby Rd Ste 305,
Hackettstown, NJ 07840-4174
Ph: (908) 979-1144 |
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