Matthew Ryan Keller, MSW, LICSW | |
603 Bruce St, Crookston, MN 56716-2914 | |
(218) 281-3940 | |
(218) 281-6261 |
Full Name | Matthew Ryan Keller |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 603 Bruce St, Crookston, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336664614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 24371 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alluma Inc | 6709787609 | 18 |
Entity Name | Alluma Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508835133 PECOS PAC ID: 6709787609 Enrollment ID: O20040302000004 |
Mailing Address | Practice Location Address |
---|---|
Matthew Ryan Keller, MSW, LICSW 603 Bruce St, Crookston, MN 56716-2914 Ph: (218) 281-3940 | Matthew Ryan Keller, MSW, LICSW 603 Bruce St, Crookston, MN 56716-2914 Ph: (218) 281-3940 |
Denise Elaine Hammer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261 | |
Rachel Lynn Winter, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-280-3933 | |
Angela Marie Carlson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261 | |
Shauna R Reitmeier, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 | |
Stephanie Kaitlyn Philyaw, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 | |
Casandra Kay Anderson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 | |
Ms. Tricia Jeanne Hellerud, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261 |