| Julie Ann Keller, PA-C | |
|
922 Lincoln Ave, Harvey, ND 58341-1524 | |
| (701) 324-4856 | |
| (701) 324-4858 |
| Full Name | Julie Ann Keller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 32 Years |
| Location | 922 Lincoln Ave, Harvey, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114095064 | NPI | - | NPPES |
| 12048 | Other | BLUE CROSS BLUE SHIELD | |
| 10310 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0112 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health At Home - Hha | Valley city, ND | Home health agency |
| Smp Health St Aloisius | Harvey, ND | Hospital |
| Trinity Hospitals | Minot, ND | Hospital |
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Smp Health - St Aloisius | Harvey, ND | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dakota Family Physicians Pc | 5698740165 | 2 |
| Entity Name | St Aloisius Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457477218 PECOS PAC ID: 6002802378 Enrollment ID: O20040422000286 |
| Entity Name | Central Dakota Family Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720156664 PECOS PAC ID: 5698740165 Enrollment ID: O20040827001108 |
| Entity Name | St Aloisius Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457477218 PECOS PAC ID: 6002802378 Enrollment ID: O20080421000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Ann Keller, PA-C 922 Lincoln Ave, Harvey, ND 58341-1524 Ph: (701) 324-4856 | Julie Ann Keller, PA-C 922 Lincoln Ave, Harvey, ND 58341-1524 Ph: (701) 324-4856 |