Kelsey Keller, is a medicare enrolled "Physical Therapist" provider in Grantsboro, North Carolina. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Legacy Healthcare Services Inc and her current practice location is
290 Keel Rd, Grantsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 745-5005.
Kelsey Keller is licensed to practice in North Carolina (license number P23697) 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 1821857665.
Healthcare Provider's Profile
| Full Name | Kelsey Keller |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 5 Years |
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| Location | 290 Keel Rd, Grantsboro, North Carolina |
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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. |
Medical Education and Training:
- Kelsey Keller graduated from medical school in 2021
NPI Data:
- NPI Number: 1821857665
- Provider Enumeration Date: 03/14/2024
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820577844
- Enrollment ID: I20260210002418
Medical Identifiers
Medical identifiers for Kelsey Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821857665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | LPT-31670 (Arizona) | Secondary |
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225100000X | Physical Therapist | P23697 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Legacy Healthcare Services Inc | 2163339722 | 3431 |
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. Kelsey Keller allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
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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. Kelsey 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 |
Kelsey Keller, 613 Embrun Run, Wendell, NC 27591-4556 Ph: Not Available | Kelsey Keller, 290 Keel Rd, Grantsboro, NC 28529-9424 Ph: (252) 745-5005 |
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