Candie Marie Keller, MSN, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Coquille, Oregon. Her current practice location is
790 E 5th St, Coquille, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 396-7295.
Candie Marie Keller is licensed to practice in Oregon (license number 10024862) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801636600.
Provider's Profile
| Full Name | Candie Marie Keller |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 790 E 5th St, Coquille, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1801636600
- Provider Enumeration Date: 05/29/2024
- Last Update Date: 03/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446792873
- Enrollment ID: I20240612003618
Medical Identifiers
Medical identifiers for Candie Marie Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801636600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 10024862 (Oregon) | 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. Candie Marie Keller allows following entities to bill medicare on her behalf.
| Entity Name | North Bend Medical Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138 |
|---|
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. Candie Marie 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 |
|---|
Candie Marie Keller, MSN, APRN, NP-C
790 E 5th St,
Coquille, OR 97423-1755
Ph: (541) 396-7295 | Candie Marie Keller, MSN, APRN, NP-C
790 E 5th St,
Coquille, OR 97423-1755
Ph: (541) 396-7295 |
Reviews and Comments