Dr Heidi E Keller, PHD in Sparta, NJ - Medicare Counselor Provider

Dr Heidi E Keller, PHD is a medicare enrolled "Counselor - Mental Health" provider in Sparta, New Jersey. Her current practice location is 30 Sparta Ave., Sparta, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 729-3832.

Dr Heidi E Keller is licensed to practice in New Jersey (license number 37PC00325500) 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 1801088356.

Contact Information

	Dr Heidi E Keller, PHD
	30 Sparta Ave., Sparta, NJ 07871
	(973) 729-3832
	(973) 729-6114

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Heidi E Keller
Gender	Female
Speciality	Counselor - Mental Health
Location	30 Sparta Ave., Sparta, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801088356
Provider Enumeration Date: 08/17/2007
Last Update Date: 08/17/2007

Medicare PECOS Information:

PECOS PAC ID: 7810177276
Enrollment ID: I20110202000669

Medical Identifiers

Medical identifiers for Dr Heidi E Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801088356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	37PC00325500 (New Jersey)	Primary
103TC1900X	Psychologist - Counseling	016695-1 (New York)	Secondary

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 Heidi E Keller allows following entities to bill medicare on her behalf.

Entity Name	Live Well Psychology Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902459670 PECOS PAC ID: 5799187928 Enrollment ID: O20210712000997

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 Heidi E 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 Heidi E Keller, PHD 30 Sparta Ave., Sparta, NJ 07871 Ph: (973) 729-3832	Dr Heidi E Keller, PHD 30 Sparta Ave., Sparta, NJ 07871 Ph: (973) 729-3832

Reviews and Comments

Counselor in Sparta, NJ

Dr. Matthew Putts, PHD, LRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 139 W Shore Trl, Sparta, NJ 07871 Phone: 973-879-8525
Isabel Juliette Nassi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Main St, Sparta, NJ 07871 Phone: 201-498-9140
Tierney Veliz, MA, ED.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd Ste 209, Sparta, NJ 07871 Phone: 973-512-3700
Elizabeth Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Sparta Ave, #203, Sparta, NJ 07871 Phone: 973-573-1500
Cassidy Spohn, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd, Sparta, NJ 07871 Phone: 973-512-3700
Lisa Arline Frisbie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Main Street Rear Suite, Sparta, NJ 07871 Phone: 908-291-8466
Paul Joseph Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Fishers Ln, Sparta, NJ 07871 Phone: 973-726-4533

Dr Heidi E Keller, PHD - Medicare Counselor in Sparta, NJ