Savannah Grace Keller, PNP in Vallejo, CA - Medicare Nurse Practitioner

Savannah Grace Keller, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Vallejo, California. Her current practice location is 415 Georgia St, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 556-8100.

Savannah Grace Keller is licensed to practice in California (license number 95010542) 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 1467911685.

Contact Information

	Savannah Grace Keller, PNP
	415 Georgia St, Vallejo, CA 94590-6004
	(707) 556-8100
	(707) 556-8107

Map and Direction

Provider's Profile

Full Name	Savannah Grace Keller
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	415 Georgia St, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467911685
Provider Enumeration Date: 03/18/2019
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 9638412182
Enrollment ID: I20190523002633

Medical Identifiers

Medical identifiers for Savannah Grace Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467911685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95010542 (California)	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. Savannah Grace Keller allows following entities to bill medicare on her behalf.

Entity Name	La Clinica De La Raza Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016

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. Savannah Grace 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
Savannah Grace Keller, PNP Po Box 22210, Oakland, CA 94623-2210 Ph: (510) 535-4000	Savannah Grace Keller, PNP 415 Georgia St, Vallejo, CA 94590-6004 Ph: (707) 556-8100

Reviews and Comments

Nurse Practitioner Nurses in Vallejo, CA

Catherine Ann Heckert, NPF Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Georgia Street, Suite B, Vallejo, CA 94590 Phone: 707-556-8100 Fax: 707-556-8107
Alisha R Mcgriff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 124 Lippizan Dr, Vallejo, CA 94591 Phone: 707-731-3496
Miss Bonnie Jo Gallegos, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Kaiser Permanente Vallejo Medical Center, Vallejo, CA 94589 Phone: 707-651-1031
Ryan Singer, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Jade Cir, Vallejo, CA 94590 Phone: 770-369-5696
Maricar Inigo, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Georgia Street, Ste B, Vallejo, CA 94590 Phone: 707-556-8100 Fax: 707-556-8107
Naomi Elaine Harada, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3470
Maria Gallego, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Tuolumne St, Vallejo, CA 94590 Phone: 707-553-5509

Savannah Grace Keller, PNP - Medicare Nurse Practitioner in Vallejo, CA