Michele Keller, LPC in Vinita, OK - Medicare Counselor Provider

Michele Keller, LPC is a medicare enrolled "Counselor - Mental Health" provider in Vinita, Oklahoma. Her current practice location is 405 E Excelsior Ave, Vinita, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 256-6476.

Michele Keller is licensed to practice in * (Not Available) (license number ) 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 1154747574.

Contact Information

	Michele Keller, LPC
	405 E Excelsior Ave, Vinita, OK 74301-4226
	(918) 256-6476
	(918) 256-3628

Map and Direction

Healthcare Provider's Profile

Full Name	Michele Keller
Gender	Female
Speciality	Counselor - Mental Health
Location	405 E Excelsior Ave, Vinita, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154747574
Provider Enumeration Date: 03/10/2014
Last Update Date: 07/08/2020

Medicare PECOS Information:

PECOS PAC ID: 7113364639
Enrollment ID: I20240320000879

Medical Identifiers

Medical identifiers for Michele Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154747574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2011035731 (Missouri)	Secondary
101YP2500X	Counselor - Professional	2011035731 (Missouri)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Michele Keller allows following entities to bill medicare on her behalf.

Entity Name	Grand Lake Mental Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174

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. Michele 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
Michele Keller, LPC 405 E Excelsior Ave, Vinita, OK 74301-4226 Ph: (918) 256-6476	Michele Keller, LPC 405 E Excelsior Ave, Vinita, OK 74301-4226 Ph: (918) 256-6476

Reviews and Comments

Counselor in Vinita, OK

Chrystal Brassfield, MS Counselor Medicare: Medicare Enrolled Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628
Anthony Goodell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628
Melanie K Phillips, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628
Dorsey Ramsey, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628
Betty F Showler, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22253 S 4370 Rd, Vinita, OK 74301 Phone: 918-244-6416
Jonathan Brodrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628
Dr. Deborah M. Payton, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 442606 E. 250 Rd, Vinita, OK 74301 Phone: 918-256-3392 Fax: 918-256-6859

Michele Keller, LPC - Medicare Counselor in Vinita, OK