Dr Matthew William Keller, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Fpo, Armed Forces Pacific. His current practice location is
Psc 473 Box 1674, Fpo, Armed Forces Pacific. You can reach out to his office (for appointments etc.) via phone at
(860) 885-9347.
Dr Matthew William Keller is licensed to practice in California (license number A156771) 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 1710182795.
Physician's Profile
Full Name | Dr Matthew William Keller |
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Gender | Male |
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Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
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Location | Psc 473 Box 1674, Fpo, Armed Forces Pacific |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710182795
- Provider Enumeration Date: 06/19/2007
- Last Update Date: 03/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739361114
- Enrollment ID: I20160516001299
Medical Identifiers
Medical identifiers for Dr Matthew William Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710182795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 01065977A (Indiana) | Secondary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | A156771 (California) | 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. Dr Matthew William 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 |
Dr Matthew William Keller, MD 872 Emerald St, San Diego, CA 92109-2712 Ph: () - | Dr Matthew William Keller, MD Psc 473 Box 1674, Fpo, AP 96349-0017 Ph: (860) 885-9347 |
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