Audrey Lynn Keller, PA-C is a
Physician Assistant physician based in Baldwin, Michigan. Audrey Lynn Keller is licensed to practice in Michigan (license number 5601005193) and her current practice location is 525 4th St, Baldwin, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 745-3116.
NPI number for Audrey Lynn Keller is 1003991530 and her current mailing address is 525 4th St, Baldwin, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003991530.
Physician's Profile
Full Name | Audrey Lynn Keller |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 525 4th St, Baldwin, Michigan |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003991530
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 12/29/2014
Medical Identifiers
Medical identifiers for Audrey Lynn Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003991530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | CO2225 (Colorado) | Secondary |
363A00000X | Physician Assistant | 5601005193 (Michigan) | Primary |
363A00000X | Physician Assistant | 22536 (California) | Secondary |
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. Audrey Lynn Keller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Audrey Lynn Keller, PA-C 525 4th St, Baldwin, MI 49304-9518 Ph: (231) 745-3116 | Audrey Lynn Keller, PA-C 525 4th St, Baldwin, MI 49304-9518 Ph: (231) 745-3116 |
Reviews and Comments