Justin Keller, NP in Los Angeles, CA - Medicare Nurse Practitioner

Justin Keller, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. His current practice location is 1610 N Alvarado St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (916) 479-0237.

Justin Keller is licensed to practice in California (license number 95015344) 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 1477144798.

Contact Information

	Justin Keller, NP
	1610 N Alvarado St, Los Angeles, CA 90026-2524
	(916) 479-0237
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin Keller
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1610 N Alvarado St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477144798
Provider Enumeration Date: 01/29/2021
Last Update Date: 01/29/2021

Medicare PECOS Information:

PECOS PAC ID: 4880079573
Enrollment ID: I20220915003894

Medical Identifiers

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

Identifier	Type	State	Issuer
1477144798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95015344 (California)	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. Justin Keller allows following entities to bill medicare on his behalf.

Entity Name	Ihs Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164999306 PECOS PAC ID: 5799116075 Enrollment ID: O20201231000342

Entity Name	Omar Osman Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669192472 PECOS PAC ID: 4385014042 Enrollment ID: O20221221002873

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. Justin 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
Justin Keller, NP 1610 N Alvarado St, Los Angeles, CA 90026-2524 Ph: (916) 479-0237	Justin Keller, NP 1610 N Alvarado St, Los Angeles, CA 90026-2524 Ph: (916) 479-0237

Reviews and Comments

Nurse Practitioner Nurses in Los Angeles, CA

Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190
Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000

Justin Keller, NP - Medicare Nurse Practitioner in Los Angeles, CA