Wade Keller, MA, LAMFT in Prior Lake, MN - Medicare Marriage & Family Therapist Provider

Wade Keller, MA, LAMFT is a medicare enrolled "Marriage & Family Therapist" provider in Prior Lake, Minnesota. His current practice location is 15852 Pennsylvania Ave, Prior Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 991-2937.

Wade Keller is licensed to practice in Minnesota (license number 4431) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114706421.

Contact Information

	Wade Keller, MA, LAMFT
	15852 Pennsylvania Ave, Prior Lake, MN 55372-2270
	(612) 991-2937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wade Keller
Gender	Male
Speciality	Marriage & Family Therapist
Location	15852 Pennsylvania Ave, Prior Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114706421
Provider Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0143666362
Enrollment ID: I20240312000207

Medical Identifiers

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

Identifier	Type	State	Issuer
1114706421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	4431 (Minnesota)	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. Wade Keller allows following entities to bill medicare on his behalf.

Entity Name	River Valley Behavioral Health & Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316197148 PECOS PAC ID: 3678625035 Enrollment ID: O20090715000482

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. Wade 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
Wade Keller, MA, LAMFT 15852 Pennsylvania Ave, Prior Lake, MN 55372-2270 Ph: (612) 991-2937	Wade Keller, MA, LAMFT 15852 Pennsylvania Ave, Prior Lake, MN 55372-2270 Ph: (612) 991-2937

Reviews and Comments

Marriage & Family Therapist in Prior Lake, MN

Ms. Sheila Kathryn Anderson, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600 Fax: 952-443-4604
Mrs. Erika Marie Davis, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600 Fax: 952-443-4604
Ms. Barbara Clare, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600 Fax: 952-443-4604
Brittany Squillace, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14022 Bluebird Trl Ne, Prior Lake, MN 55372 Phone: 612-564-3852
Jett J. A. Snyder, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4607 Colorado St Se, Prior Lake, MN 55372 Phone: 612-965-1429

Wade Keller, MA, LAMFT - Medicare Couples Therapy in Prior Lake, MN