Jay S Keller, MD in Urbana, IL - Medicare Obstetrics/gynecology

Jay S Keller, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Urbana, Illinois. He went to University Of Arkansas College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Carle Health Care Incorporated and his current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 383-3140.

Jay S Keller is licensed to practice in Illinois (license number 036130109) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790760544.

Contact Information

	Jay S Keller, MD
	611 W Park St, Urbana, IL 61801-2529
	(217) 383-3140
	(217) 383-4966

Map and Direction

Physician's Profile

Full Name	Jay S Keller
Gender	Male
Speciality	Obstetrics/gynecology
Experience	36 Years
Location	611 W Park St, Urbana, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jay S Keller attended and graduated from University Of Arkansas College Of Medicine in 1988

NPI Data:

NPI Number: 1790760544
Provider Enumeration Date: 12/14/2005
Last Update Date: 04/17/2020

Medicare PECOS Information:

PECOS PAC ID: 9234119538
Enrollment ID: I20120510000335

Medical Identifiers

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

Identifier	Type	State	Issuer
1790760544	NPI	-	NPPES
036130109	Medicaid	IL
510I160042	Other	AL	MEDICARE PTAN
D835	Other	AL	MEDICARE GROUP PIN
1912966847	Other	AL	MEDICAID BILLING
101902	Medicaid	AL
51548375	Other	AL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	16383 (Alabama)	Secondary
207V00000X	Obstetrics & Gynecology	036130109 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Carle Foundation Hospital	Urbana, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle Health Care Incorporated	3577515774	799

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. Jay S Keller allows following entities to bill medicare on his behalf.

Entity Name	Siu Physicians & Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769

Entity Name	Community Health Improvement Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467784090 PECOS PAC ID: 4385625342 Enrollment ID: O20040526000316

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

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. Jay S 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
Jay S Keller, MD 611 W Park St, Fapc, Urbana, IL 61801 Ph: () -	Jay S Keller, MD 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3140

Reviews and Comments

Obstetrics & Gynecology Doctors in Urbana, IL

Dr. Ronald E Kimball, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 509 W University Ave, Urbana, IL 61801 Phone: 217-383-6636 Fax: 217-383-3466
Rebecca A Wagner, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 611 W. Park St., Ob/gyn, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966
Karima M Shmila, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 611 W. Park St, Fapc, Urbana, IL 61801 Phone: 217-383-3311
Ismail Olusayo Oshogwemoh, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966
Mrs. Tovah Ann Buikema, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Maternal-fetal Medicine, Urbana, IL 61801 Phone: 217-383-4930 Fax: 217-383-4014
Anna L Schmitz, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Sc4, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966
Dr. Jamie Lynn Fulfer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 602 W. University Avenue, Ob/gyn, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966

Jay S Keller, MD - Medicare Obstetrics/gynecology in Urbana, IL