Eli Keller, is a
Student In An Organized Health Care Education/training Program based in Pleasant Hill, California. Eli Keller is licensed to practice in California (license number ) and his current practice location is
3478 Buskirk Ave, Pleasant Hill, California. He can be reached at his office (for appointments etc.) via phone at
(925) 330-9482.
NPI number for Eli Keller is 1255615423 and his current mailing address is 3478 Buskirk Ave, Pleasant Hill, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255615423.
Healthcare Provider's Profile
| Full Name | Eli Keller |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3478 Buskirk Ave, Pleasant Hill, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255615423
- Provider Enumeration Date: 10/05/2011
- Last Update Date: 01/04/2021
Medical Identifiers
Medical identifiers for Eli Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255615423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
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. Eli Keller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eli Keller,
3478 Buskirk Ave,
Pleasant Hill, CA 94523-4344
Ph: (925) 330-9482 | Eli Keller,
3478 Buskirk Ave,
Pleasant Hill, CA 94523-4344
Ph: (925) 330-9482 |
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