Dr Richard L Keller Ii, MD in Peru, IN

Dr Richard L Keller Ii, MD is a medicare enrolled "Pediatrics" physician in Peru, Indiana. His current practice location is 285 W 12th St Ste 102, Peru, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 472-4356.

Dr Richard L Keller Ii is licensed to practice in Indiana (license number 01051573A) 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 1265497515.

Contact Information

	Dr Richard L Keller Ii, MD
	285 W 12th St Ste 102, Peru, IN 46970-1654
	(765) 472-4356
	(260) 479-2927

Map and Direction

Physician's Profile

Full Name	Dr Richard L Keller Ii
Gender	Male
Speciality	Pediatrics
Location	285 W 12th St Ste 102, Peru, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265497515
Provider Enumeration Date: 04/19/2006
Last Update Date: 09/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7719943760
Enrollment ID: I20041202000110

Medical Identifiers

Medical identifiers for Dr Richard L Keller Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265497515	NPI	-	NPPES
200327580	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01051573A (Indiana)	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 Richard L Keller Ii allows following entities to bill medicare on his behalf.

Entity Name	Meridian Health Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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 Richard L Keller Ii 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 Richard L Keller Ii, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (765) 472-4356	Dr Richard L Keller Ii, MD 285 W 12th St Ste 102, Peru, IN 46970-1654 Ph: (765) 472-4356

Reviews and Comments

Pediatrics Doctors in Peru, IN

Dr. Neil Stalker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 285 W 12th St, Ste. 102, Peru, IN 46970 Phone: 765-472-4356
Alexis Irene Mcclure, PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 750 N Broadway, Peru, IN 46970 Phone: 260-569-2120
Sherif Elmasry, Pediatrics Medicare: Medicare Enrolled Practice Location: 655 N Broadway, Peru, IN 46970 Phone: 765-475-0024 Fax: 765-475-0736

Dr Richard L Keller Ii, MD - Medicare Pediatrics in Peru, IN