Dr Scott B Keller, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Humboldt, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2013 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Guthrie Medical Group Pc, Guthrie Medical Group Pc, Guthrie Medical Group Pc and his current practice location is
624 W Southside Dr, Humboldt, Illinois. You can reach out to his office (for appointments etc.) via phone at
(347) 504-3246.
Dr Scott B Keller is licensed to practice in New York (license number 291735) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639513716.
Physician's Profile
| Full Name | Dr Scott B Keller |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 12 Years |
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| Location | 624 W Southside Dr, Humboldt, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Scott B Keller attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2013
NPI Data:
- NPI Number: 1639513716
- Provider Enumeration Date: 04/19/2013
- Last Update Date: 03/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113241373
- Enrollment ID: I20190701001329
Medical Identifiers
Medical identifiers for Dr Scott B Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639513716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 291735 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Guthrie Medical Group Pc | 6002728656 | 725 |
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 Scott B Keller allows following entities to bill medicare on his behalf.
| Entity Name | Guthrie Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
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| Entity Name | The Brookdale Hospital Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
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| Entity Name | Radiology Advantage New Jersey Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922495787 PECOS PAC ID: 1153649686 Enrollment ID: O20150908002153 |
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| Entity Name | Empire State Radiology P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200508000320 |
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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 Scott B 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 Scott B Keller, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: () - | Dr Scott B Keller, MD 624 W Southside Dr, Humboldt, IL 61931-7858 Ph: (347) 504-3246 |
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