Shannon Keller, PA is a
Student In An Organized Health Care Education/training Program based in East Aurora, New York. Shannon Keller is licensed to practice in * (Not Available) (license number ) and her current practice location is
71 Cookman Rd, East Aurora, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 440-4014.
NPI number for Shannon Keller is 1265209654 and her current mailing address is 71 Cookman Rd, East Aurora, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265209654.
Provider's Profile
| Full Name | Shannon Keller |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 71 Cookman Rd, East Aurora, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265209654
- Provider Enumeration Date: 12/06/2023
- Last Update Date: 12/17/2023
Medical Identifiers
Medical identifiers for Shannon Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265209654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Shannon 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 |
|---|
Shannon Keller, PA
71 Cookman Rd,
East Aurora, NY 14052-1229
Ph: () - | Shannon Keller, PA
71 Cookman Rd,
East Aurora, NY 14052-1229
Ph: (716) 440-4014 |
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