Jacob R Keller, LPCC in Eaton, OH - Medicare Counselor Provider

Jacob R Keller, LPCC is a medicare enrolled "Counselor - Professional" provider in Eaton, Ohio. His current practice location is 411 W Main St, Eaton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 475-9124.

Jacob R Keller is licensed to practice in Ohio (license number E1000620) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629340856.

Contact Information

	Jacob R Keller, LPCC
	411 W Main St, Eaton, OH 45320-1624
	(937) 475-9124
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob R Keller
Gender	Male
Speciality	Counselor - Professional
Location	411 W Main St, Eaton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629340856
Provider Enumeration Date: 02/03/2012
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0547611899
Enrollment ID: I20240110004838

Medical Identifiers

Medical identifiers for Jacob R Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629340856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E1000620 (Ohio)	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. Jacob R Keller allows following entities to bill medicare on his behalf.

Entity Name	Counseling Source Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639438518 PECOS PAC ID: 6709772387 Enrollment ID: O20170607001140

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. Jacob R 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
Jacob R Keller, LPCC 411 W Main St, Eaton, OH 45320-1624 Ph: (937) 475-9124	Jacob R Keller, LPCC 411 W Main St, Eaton, OH 45320-1624 Ph: (937) 475-9124

Reviews and Comments

Counselor in Eaton, OH

Aileen Erbacher, LICDC-CS, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N. Barron St., Eaton, OH 45320 Phone: 937-456-3443
Michelle Davis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Barron St, Eaton, OH 45320 Phone: 937-456-3443
Deborah Kathleen Hater, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 228 N Barron St, Eaton, OH 45320 Phone: 937-456-7694
Olivia J Bishop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1881 Us Highway 127 N, Eaton, OH 45320 Phone: 513-896-3444
Logan M Pence, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 228 N Barron St, Eaton, OH 45320 Phone: 937-456-7694 Fax: 937-456-7753
Clarissa Yvonne Mankin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 228 N Barron St, Eaton, OH 45320 Phone: 937-456-7694
Bianca Teeters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 228 N Barron St, Eaton, OH 45320 Phone: 937-456-7694

Jacob R Keller, LPCC - Medicare Counselor in Eaton, OH