Jim E Keller, PA-C is a
Physician Assistant based in Idaho Springs, Colorado. Jim E Keller is licensed to practice in Colorado (license number 2055) and his current practice location is
115 15th Ave, Idaho Springs, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 567-2668.
NPI number for Jim E Keller is 1477628253 and his current mailing address is 10251 Pennington Ln, Highlands Ranch, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477628253.
Provider's Profile
| Full Name | Jim E Keller |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 115 15th Ave, Idaho Springs, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477628253
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 02/05/2008
Medical Identifiers
Medical identifiers for Jim E Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477628253 | NPI | - | NPPES |
| 08576840 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2055 (Colorado) | Primary |
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. Jim E 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 |
|---|
Jim E Keller, PA-C
10251 Pennington Ln,
Highlands Ranch, CO 80126-5584
Ph: (303) 346-5412 | Jim E Keller, PA-C
115 15th Ave,
Idaho Springs, CO 80452
Ph: (303) 567-2668 |
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