Teresa D Keller, MA in Crestone, CO - Medicare Counselor Provider

Teresa D Keller, MA is a medicare enrolled "Counselor - Professional" provider in Crestone, Colorado. Her current practice location is 1609 Spanish Creek Rd., Crestone, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 859-4073.

Teresa D Keller is licensed to practice in Colorado (license number LPC0005932) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760530323.

Contact Information

	Teresa D Keller, MA
	1609 Spanish Creek Rd., Crestone, CO 81131-9990
	(719) 859-4073
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Teresa D Keller
Gender	Female
Speciality	Counselor - Professional
Location	1609 Spanish Creek Rd., Crestone, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760530323
Provider Enumeration Date: 01/08/2007
Last Update Date: 07/31/2025

Medicare PECOS Information:

PECOS PAC ID: 5799203303
Enrollment ID: I20250519000155

Medical Identifiers

Medical identifiers for Teresa D Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760530323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC0005932 (Colorado)	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. Teresa D Keller allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230217000095

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. Teresa 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
Teresa D Keller, MA Po Box 1336, Crestone, CO 81131-0018 Ph: (719) 859-4073	Teresa D Keller, MA 1609 Spanish Creek Rd., Crestone, CO 81131-9990 Ph: (719) 859-4073

Reviews and Comments

Counselor in Crestone, CO

Mr. James Michael Sheeran, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Alder St., Crestone, CO 81131 Phone: 719-588-9637 Fax: 719-256-5890
Jeanine Ten Broeck, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2760 N Carefree Way, Crestone, CO 80229 Phone: 970-844-5570
Elizabeth J Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 E Badger Rd, Crestone, CO 81131 Phone: 720-442-1999
Mrs. Michelle Christine Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Foothills Overlook, Crestone, CO 81131 Phone: 719-588-3484

Teresa D Keller, MA - Medicare Counselor in Crestone, CO