Kimberly D Keller, PA-C - Physician Assistant in Southgate, MI

Kimberly D Keller, PA-C is a Physician Assistant based in Southgate, Michigan. Kimberly D Keller is licensed to practice in Michigan (license number 5601004611) and her current practice location is 12100 Dix Toledo Rd, Southgate, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 282-5502.

NPI number for Kimberly D Keller is 1386976637 and her current mailing address is 12100 Dix Toledo Rd, Southgate, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386976637.

Contact Information

Kimberly D Keller, PA-C
12100 Dix Toledo Rd,
Southgate, MI 48195-3531
(734) 282-5502
Not Available

Map and Direction




Provider's Profile

Full NameKimberly D Keller
GenderFemale
SpecialityPhysician Assistant
Location12100 Dix Toledo Rd, Southgate, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386976637
  • Provider Enumeration Date: 02/10/2010
  • Last Update Date: 02/10/2010

Medical Identifiers

Medical identifiers for Kimberly D Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386976637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601004611 (Michigan)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. Kimberly D 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 AddressPractice Location Address
Kimberly D Keller, PA-C
12100 Dix Toledo Rd,
Southgate, MI 48195-3531

Ph: (734) 282-5502
Kimberly D Keller, PA-C
12100 Dix Toledo Rd,
Southgate, MI 48195-3531

Ph: (734) 282-5502

Reviews and Comments


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Medicare: Accepting Medicare Assignments
Practice Location: 13636 Dix Toledo Rd, Southgate, MI 48195
Phone: 734-283-2262    Fax: 734-283-8121
Nabeel Omar, PA-C
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Medicare: Medicare Enrolled
Practice Location: 13636 Dix Toledo Rd, Southgate, MI 48195
Phone: 734-283-2262    
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Medicare: Medicare Enrolled
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Phone: 734-250-9062    

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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.

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