Ethan Frederick Keller, MD is a medicare enrolled "Hospitalist" physician in Lebanon, Pennsylvania. His current practice location is
252 S 4th St, Lebanon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 270-4876.
Ethan Frederick Keller is licensed to practice in Pennsylvania (license number MD497207) 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 1093403420.
Physician's Profile
| Full Name | Ethan Frederick Keller |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 252 S 4th St, Lebanon, Pennsylvania |
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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: 1093403420
- Provider Enumeration Date: 04/25/2023
- Last Update Date: 10/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 1658736525
- Enrollment ID: I20230427002294
Medical Identifiers
Medical identifiers for Ethan Frederick Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093403420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | MD497207 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | C7-0018190 (Delaware) | Secondary |
| 208M00000X | Hospitalist | MD497207 (Pennsylvania) | 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. Ethan Frederick 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 |
Ethan Frederick Keller, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 270-4876 | Ethan Frederick Keller, MD 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 270-4876 |
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