Dr Mark Allen Keller, MD - Medicare Pediatrics in Stanwood, WA

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Dr Mark Allen Keller, MD is a medicare enrolled "Pediatrics" physician in Stanwood, Washington. His current practice location is 7205 265th St Nw, Stanwood, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 629-1500.

Dr Mark Allen Keller is licensed to practice in Washington (license number MD61049864) 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 1497138861.

Contact Information

Dr Mark Allen Keller, MD
7205 265th St Nw,
Stanwood, WA 98292-6221
(360) 629-1500
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark Allen Keller
GenderMale
SpecialityPediatrics
Location7205 265th St Nw, Stanwood, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497138861
  • Provider Enumeration Date: 07/03/2015
  • Last Update Date: 10/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557774825
  • Enrollment ID: I20221202002030

Medical Identifiers

Medical identifiers for Dr Mark Allen Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497138861NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MT209962 (Pennsylvania)Secondary
208000000XPediatrics MD61049864 (Washington)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. Dr Mark Allen Keller allows following entities to bill medicare on his behalf.
Entity NameThe Polyclinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174594634
PECOS PAC ID: 2163328196
Enrollment ID: O20031210000788
Entity NameOptum Care Washington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922

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 Mark Allen 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 AddressPractice Location Address
Dr Mark Allen Keller, MD
10020 15th Pl Se,
Lake Stevens, WA 98258-3830

Ph: (610) 392-7647		Dr Mark Allen Keller, MD
7205 265th St Nw,
Stanwood, WA 98292-6221

Ph: (360) 629-1500

Reviews and Comments


Pediatrics Doctors in Stanwood, WA

James Troutman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7205 265th St Nw, Stanwood, WA 98292
Phone: 360-629-1502    Fax: 360-629-1524
Dr. Sarah B Poyen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7205 265th St Nw, Stanwood, WA 98292
Phone: 360-629-1502    Fax: 360-629-1524
Dr. Susana E Myers, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7205 265th St Nw, Stanwood, WA 98292
Phone: 425-258-3900    
Dr. Arnold Andre Ronning, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9631 269th St Nw, Stanwood, WA 98292
Phone: 425-870-7384    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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