Mr John W Keller, PHD is a
Psychologist based in Destin, Florida. Mr John W Keller is licensed to practice in Florida (license number PY2338) and his current practice location is
215 Mountain Dr, Ste. 106, Destin, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 837-9100.
NPI number for Mr John W Keller is 1043248800 and his current mailing address is 215 Mountain Dr, Ste. 106, Destin, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043248800.
Healthcare Provider's Profile
| Full Name | Mr John W Keller |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 215 Mountain Dr, Destin, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043248800
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 06/22/2011
Medical Identifiers
Medical identifiers for Mr John W Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043248800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | PY2338 (Florida) | Secondary |
| 103T00000X | Psychologist | PY2338 (Florida) | 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. Mr John W Keller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John W Keller, PHD
215 Mountain Dr, Ste. 106,
Destin, FL 32541-2346
Ph: (850) 837-9100 | Mr John W Keller, PHD
215 Mountain Dr, Ste. 106,
Destin, FL 32541-2346
Ph: (850) 837-9100 |
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