Theresa M Keller, NP in Onalaska, WI - Medicare Nurse Practitioner

Theresa M Keller, NP is a medicare enrolled "Nurse Practitioner - Family" in Onalaska, Wisconsin. Her current practice location is 1260 Crossing Meadows Dr, Onalaska, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 775-5858.

Theresa M Keller is licensed to practice in Wisconsin (license number 9675) 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 1851332688.

Contact Information

	Theresa M Keller, NP
	1260 Crossing Meadows Dr, Onalaska, WI 54650-8666
	(608) 775-5858
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa M Keller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1260 Crossing Meadows Dr, Onalaska, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851332688
Provider Enumeration Date: 06/10/2006
Last Update Date: 12/05/2019

Medicare PECOS Information:

PECOS PAC ID: 2163463035
Enrollment ID: I20090813000507

Medical Identifiers

Medical identifiers for Theresa M Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851332688	NPI	-	NPPES
0076372	Medicaid	IA
01-07133	Other	MN	MEDICA
47G21KE	Other	MN	BLUE CROSS BLUE SHIELD
295450800	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A-064032 (Iowa)	Secondary
363LF0000X	Nurse Practitioner - Family	0192371-22 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	9675 (Wisconsin)	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. Theresa M Keller allows following entities to bill medicare on her behalf.

Entity Name	Siouxland Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558355305 PECOS PAC ID: 9931099546 Enrollment ID: O20040317001270

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. Theresa M 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
Theresa M Keller, NP 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Theresa M Keller, NP 1260 Crossing Meadows Dr, Onalaska, WI 54650-8666 Ph: (608) 775-5858

Reviews and Comments

Nurse Practitioner Nurses in Onalaska, WI

Mrs. Tara Kathleen Deigmann, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100
Mrs. Linda Helen Watson, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1828 E Main St, Suite 10, Onalaska, WI 54650 Phone: 608-782-9675 Fax: 608-782-1123
Delrose D Jones, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5702 Fax: 608-392-5789
Sally Cecile Pollock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-785-0940
Jennifer Lea Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100
Amy Pike, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5000
Virginia L Green, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Gunderson Rd, Onalaska, WI 54650 Phone: 608-782-7300

Theresa M Keller, NP - Medicare Nurse Practitioner in Onalaska, WI