Mrs Elisabeth Keller, is a medicare enrolled "Speech-language Pathologist" provider in Whitewater, Wisconsin. Her current practice location is
215 E Clay St Unit 43, Whitewater, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(719) 351-6110.
Mrs Elisabeth Keller is licensed to practice in Wisconsin (license number 2711-154) 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 1174997258.
Healthcare Provider's Profile
| Full Name | Mrs Elisabeth Keller |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 215 E Clay St Unit 43, Whitewater, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174997258
- Provider Enumeration Date: 11/30/2015
- Last Update Date: 11/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 4486051653
- Enrollment ID: I20210930002488
Medical Identifiers
Medical identifiers for Mrs Elisabeth Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174997258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 2711-154 (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. Mrs Elisabeth Keller allows following entities to bill medicare on her behalf.
| Provider Name | Aegis Group Practice Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978 |
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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. Mrs Elisabeth 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 |
Mrs Elisabeth Keller, 215 E Clay St Unit 43, Whitewater, WI 53190-2076 Ph: (719) 351-6110 | Mrs Elisabeth Keller, 215 E Clay St Unit 43, Whitewater, WI 53190-2076 Ph: (719) 351-6110 |
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