Dr Ryan James Keller, DO is a medicare enrolled "Anesthesiology" physician in Seminole, Florida. His current practice location is
9511 Antilles Dr, Seminole, Florida. You can reach out to his office (for appointments etc.) via phone at
(303) 266-0543.
Dr Ryan James Keller is licensed to practice in Colorado (license number DR.0051234) 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 1760714810.
Physician's Profile
| Full Name | Dr Ryan James Keller |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 9511 Antilles Dr, Seminole, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760714810
- Provider Enumeration Date: 01/30/2010
- Last Update Date: 12/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 2264566975
- Enrollment ID: I20120723000378
Medical Identifiers
Medical identifiers for Dr Ryan James Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760714810 | NPI | - | NPPES |
| 17435277 | Medicaid | CO | |
| P01223548 | Other | CO | RR MEDICARE |
| 0097543 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 036-121866 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | DR.0051234 (Colorado) | 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. Dr Ryan James Keller allows following entities to bill medicare on his behalf.
| Entity Name | Yampa Valley Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790787307
PECOS PAC ID: 5890685689
Enrollment ID: O20040316001301 |
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| Entity Name | Elk River Anesthesia Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144311747
PECOS PAC ID: 5799753398
Enrollment ID: O20040921001325 |
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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. Dr Ryan James 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 |
|---|
Dr Ryan James Keller, DO
9511 Antilles Dr,
Seminole, FL 33776-1402
Ph: (303) 266-0543 | Dr Ryan James Keller, DO
9511 Antilles Dr,
Seminole, FL 33776-1402
Ph: (303) 266-0543 |
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