Ms Mary Ellen Keppler, ARNP is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Monroe, Washington. Her current practice location is
16500 177th Ave Se, Monroe, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 794-2874.
Ms Mary Ellen Keppler is licensed to practice in Washington (license number AP60027404) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093963886.
Provider's Profile
Full Name | Ms Mary Ellen Keppler |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 16500 177th Ave Se, Monroe, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093963886
- Provider Enumeration Date: 09/04/2008
- Last Update Date: 04/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 9931482254
- Enrollment ID: I20200922001714
Medical Identifiers
Medical identifiers for Ms Mary Ellen Keppler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093963886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | AP60027404 (Washington) | 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. Ms Mary Ellen Keppler allows following entities to bill medicare on her behalf.
Entity Name | South Sound Inpatient Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508023789 PECOS PAC ID: 5991618738 Enrollment ID: O20050401000747 |
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Entity Name | Cogent Healthcare Of Washington, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20200427002406 |
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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. Ms Mary Ellen Keppler 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 |
Ms Mary Ellen Keppler, ARNP 16700 177th Ave Se, Monroe, WA 98272-9141 Ph: () - | Ms Mary Ellen Keppler, ARNP 16500 177th Ave Se, Monroe, WA 98272-1968 Ph: (360) 794-2874 |
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