Dr Lisa S Keller, OD is a medicare enrolled "Optometrist" provider in Litchfield, Illinois. She went to University Of Missouri St Louis - School Of Optometry and graduated in 2004 and has 21 years of diverse experience with area of expertise as Optometry. Her current practice location is
1205 W Ferdon St, Litchfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 324-5004.
Dr Lisa S Keller is licensed to practice in Illinois (license number 046.010168) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164675989.
Healthcare Provider's Profile
| Full Name | Dr Lisa S Keller |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 21 Years |
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| Location | 1205 W Ferdon St, Litchfield, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lisa S Keller attended and graduated from University Of Missouri St Louis - School Of Optometry in 2004
NPI Data:
- NPI Number: 1164675989
- Provider Enumeration Date: 10/23/2008
- Last Update Date: 10/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 2062600331
- Enrollment ID: I20101230000877
Medical Identifiers
Medical identifiers for Dr Lisa S Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164675989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 046.010168 (Illinois) | 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. Dr Lisa S Keller allows following entities to bill medicare on her behalf.
| Provider Name | Lisa S Keller Od Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1578889234
PECOS PAC ID: 7810185188
Enrollment ID: O20101230000831 |
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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. Dr Lisa S 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 |
|---|
Dr Lisa S Keller, OD
1205 W Ferdon St,
Litchfield, IL 62056-4454
Ph: (217) 324-5004 | Dr Lisa S Keller, OD
1205 W Ferdon St,
Litchfield, IL 62056-4454
Ph: (217) 324-5004 |
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