Keith Bruce Mccollister, MD in Saint Paul, MN

Keith Bruce Mccollister, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Saint Paul, Minnesota. His current practice location is 166 4th St E, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 292-2000.

Keith Bruce Mccollister is licensed to practice in South Dakota (license number 10770) 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 1427292796.

Contact Information

	Keith Bruce Mccollister, MD
	166 4th St E, Saint Paul, MN 55101-1421
	(651) 292-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith Bruce Mccollister
Gender	Male
Speciality	Radiology - Neuroradiology
Location	166 4th St E, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427292796
Provider Enumeration Date: 04/29/2009
Last Update Date: 11/12/2018

Medicare PECOS Information:

PECOS PAC ID: 3476874264
Enrollment ID: I20150604002335

Medical Identifiers

Medical identifiers for Keith Bruce Mccollister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427292796	NPI	-	NPPES
1427292796	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0700X	Radiology - Neuroradiology	10770 (South Dakota)	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. Keith Bruce Mccollister allows following entities to bill medicare on his behalf.

Entity Name	X-ray Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770536815 PECOS PAC ID: 7315859832 Enrollment ID: O20031118000632

Entity Name	Northern Indiana Magnetic Resonance Center, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447252200 PECOS PAC ID: 6709780802 Enrollment ID: O20031120000842

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. Keith Bruce Mccollister 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
Keith Bruce Mccollister, MD 166 4th St E, Saint Paul, MN 55101-1421 Ph: () -	Keith Bruce Mccollister, MD 166 4th St E, Saint Paul, MN 55101-1421 Ph: (651) 292-2000

Reviews and Comments

Radiology Doctors in Saint Paul, MN

Joseph H Tashjian, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204
Dr. Lorraine Laroy, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 Fax: 651-292-2136
Dr. Paul Robert Oler Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000
Christopher A Jackson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204
Mckinley Cribbs Lawson, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000
Kathryn E. Farniok, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 345 Sherman St, Saint Paul, MN 55102 Phone: 651-251-5500 Fax: 651-251-5555
Dr. Janel A Cox, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 631 Goodrich Ave, Saint Paul, MN 55105 Phone: 651-224-4255

Keith Bruce Mccollister, MD - Medicare Radiology in Saint Paul, MN