Mrs Lisa Jean Keller, RD, LD in Tulsa, OK - Medicare Dietitian, Registered Provider

Mrs Lisa Jean Keller, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Tulsa, Oklahoma. Her current practice location is 6160 S Yale Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 497-3041.

Mrs Lisa Jean Keller is licensed to practice in Oklahoma (license number LD377) 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 1831278746.

Contact Information

	Mrs Lisa Jean Keller, RD, LD
	6160 S Yale Ave, Tulsa, OK 74136-1930
	(918) 497-3041
	(918) 499-3295

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lisa Jean Keller
Gender	Female
Speciality	Dietitian, Registered
Location	6160 S Yale Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831278746
Provider Enumeration Date: 11/02/2006
Last Update Date: 04/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9537300041
Enrollment ID: I20130725000849

Medical Identifiers

Medical identifiers for Mrs Lisa Jean Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831278746	NPI	-	NPPES
200434810A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD377 (Oklahoma)	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. Mrs Lisa Jean Keller allows following entities to bill medicare on her behalf.

Provider Name	Warren Clinic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252

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. Mrs Lisa Jean 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
Mrs Lisa Jean Keller, RD, LD 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: () -	Mrs Lisa Jean Keller, RD, LD 6160 S Yale Ave, Tulsa, OK 74136-1930 Ph: (918) 497-3041

Reviews and Comments

Dietitian, Registered in Tulsa, OK

Mrs. Deanna Gum, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Suite 800, Tulsa, OK 74103 Phone: 918-585-3045 Fax: 918-585-3047
Brittany Bennett, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-1000
Mrs. Kristin Lynne Gibson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-7201
Hillcrest Hospital South Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8801 S 101st East Ave, Tulsa, OK 74133 Phone: 918-294-4000 Fax: 918-294-4818
Amanda Kaylene Humphreys, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Tulsa, OK 74103 Phone: 918-585-3045
Christie Anne Huffman, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2815 S Sheridan Rd, Tulsa, OK 74129 Phone: 918-619-4300 Fax: 918-619-4322
Mrs. Melissa L Davis-whitenack, M.S., R.D.,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5870 S. 76th East Avenue, Tulsa, OK 74145 Phone: 918-622-9099

Mrs Lisa Jean Keller, RD, LD - Medicare Dietitian in Tulsa, OK