Keith Clepper, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Fridley, Minnesota. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Allina Health System and his current practice location is
550 Osborne Rd Ne, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 236-4635.
Keith Clepper is licensed to practice in Minnesota (license number 21855) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982054987.
Healthcare Provider's Profile
Full Name | Keith Clepper |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 12 Years |
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Location | 550 Osborne Rd Ne, Fridley, Minnesota |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Keith Clepper graduated from medical school in 2012
NPI Data:
- NPI Number: 1982054987
- Provider Enumeration Date: 06/21/2016
- Last Update Date: 06/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 0749573129
- Enrollment ID: I20160722000288
Medical Identifiers
Medical identifiers for Keith Clepper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982054987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 302390 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 21855 (Minnesota) | Primary |
Medical Facilities Affiliation
Facility Name | Location | Facility Type |
Mercy Hospital | Coon rapids, MN | Hospital |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Allina Health System | 4587573613 | 3101 |
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. Keith Clepper allows following entities to bill medicare on his behalf.
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
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Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
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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. Keith Clepper 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 |
Keith Clepper, LICSW, LADC 550 Osborne Rd. Ne, Mr 53450, Fridley, MN 55432 Ph: (763) 236-4635 | Keith Clepper, LICSW, LADC 550 Osborne Rd Ne, Fridley, MN 55432 Ph: (763) 236-4635 |
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