Dale Carlson Keller, MD - Medicare Internal Medicine in Kamiah, ID

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Dale Carlson Keller, MD is a medicare enrolled "Internal Medicine" physician in Kamiah, Idaho. His current practice location is 518 Oak St, Kamiah, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 935-2585.

Dale Carlson Keller is licensed to practice in Idaho (license number M-17354) 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 1639707961.

Contact Information

Dale Carlson Keller, MD
518 Oak St,
Kamiah, ID 83536
(208) 935-2585
Not Available

Map and Direction




Physician's Profile

Full NameDale Carlson Keller
GenderMale
SpecialityInternal Medicine
Location518 Oak St, Kamiah, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639707961
  • Provider Enumeration Date: 03/31/2020
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880012475
  • Enrollment ID: I20230915003247

Medical Identifiers

Medical identifiers for Dale Carlson Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639707961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine M-17354 (Idaho)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. Dale Carlson Keller allows following entities to bill medicare on his behalf.
Entity NameSt. Mary's Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841292307
PECOS PAC ID: 5092773168
Enrollment ID: O20050316000814
Entity NameSt. Mary's Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1841292307
PECOS PAC ID: 5092773168
Enrollment ID: O20061104000429

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. Dale Carlson 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 AddressPractice Location Address
Dale Carlson Keller, MD
518 Oak St,
Kamiah, ID 83536

Ph: () -		Dale Carlson Keller, MD
518 Oak St,
Kamiah, ID 83536

Ph: (208) 935-2585

Reviews and Comments


Internal Medicine Doctors in Kamiah, ID


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.