Kyle Keller, RD in Redlands, CA - Medicare Dietitian, Registered Provider

Kyle Keller, RD is a medicare enrolled "Dietitian, Registered" provider in Redlands, California. His current practice location is 2079 Orange Tree Ln, Redlands, California. You can reach out to his office (for appointments etc.) via phone at (909) 353-7053.

Kyle Keller is licensed to practice in California (license number 86303323) 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 1437874641.

Contact Information

	Kyle Keller, RD
	2079 Orange Tree Ln, Redlands, CA 92374-2849
	(909) 353-7053
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Keller
Gender	Male
Speciality	Dietitian, Registered
Location	2079 Orange Tree Ln, Redlands, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437874641
Provider Enumeration Date: 10/10/2022
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6305214248
Enrollment ID: I20221123002868

Medical Identifiers

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

Identifier	Type	State	Issuer
1437874641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86303323 (California)	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. Kyle Keller allows following entities to bill medicare on his behalf.

Provider Name	Citrus Valley Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740957521 PECOS PAC ID: 8820466105 Enrollment ID: O20221117000344

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. Kyle 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
Kyle Keller, RD 7155 Citrus Ave Unit 115, Fontana, CA 92336-6001 Ph: (909) 900-9655	Kyle Keller, RD 2079 Orange Tree Ln, Redlands, CA 92374-2849 Ph: (909) 353-7053

Reviews and Comments

Dietitian, Registered in Redlands, CA

Ashley Gereau, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26000 W Lugonia Ave Apt 3218, Redlands, CA 92374 Phone: 951-543-5851
Hayley Leanne Hughes, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500
Ruth Jimenez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-825-7084
Teri Tom, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12930 Burns Ln, Redlands, CA 92373 Phone: 310-435-0318
Jenna Abrassart, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 254 E Fern Ave Apt 109, Redlands, CA 92373 Phone: 951-264-9120
Ranea Al-tikriti, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-825-7084
Drew Correia, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 515 Nottingham Dr, Redlands, CA 92373 Phone: 909-557-7722

Kyle Keller, RD - Medicare Dietitian in Redlands, CA