Kathryn M Keller, PHD is a medicare enrolled "Psychologist" provider in Janesville, Wisconsin. She graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Behavioral Health Clinic Llc and her current practice location is
903 Mineral Point Ave, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 756-5555.
Kathryn M Keller is licensed to practice in Wisconsin (license number 2891-57) 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 1750541835.
Healthcare Provider's Profile
| Full Name | Kathryn M Keller |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 15 Years |
|---|
| Location | 903 Mineral Point Ave, Janesville, Wisconsin |
|---|
| 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:
- Kathryn M Keller graduated from medical school in 2009
NPI Data:
- NPI Number: 1750541835
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 01/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 9739353467
- Enrollment ID: I20111115000646
Medical Identifiers
Medical identifiers for Kathryn M Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750541835 | NPI | - | NPPES |
| KELLEKA2 | Other | WI | MERCYCARE INSURANCE |
| 1750541835 | Other | WI | BCBSWI |
| 1750541835 | Medicaid | WI | |
| 1750541835 | Other | WI | DEAN HEALTH PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 3906125 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 2891-57 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Behavioral Health Clinic Llc | 8628409885 | 9 |
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. Kathryn M Keller allows following entities to bill medicare on her behalf.
| Entity Name | Behavioral Health Clinic Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1831442359
PECOS PAC ID: 8628409885
Enrollment ID: O20200504002000 |
|---|
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. Kathryn M 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 |
|---|
Kathryn M Keller, PHD
903 Mineral Point Ave,
Janesville, WI 53548-2970
Ph: (608) 756-5555 | Kathryn M Keller, PHD
903 Mineral Point Ave,
Janesville, WI 53548-2970
Ph: (608) 756-5555 |
Reviews and Comments