Stephen C Keller, PA-C in Albuquerque, NM - Medicare Physician Assistant

Stephen C Keller, PA-C is a medicare enrolled "Physician Assistant" in Albuquerque, New Mexico. His current practice location is 4304 Carlisle Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 888-1075.

Stephen C Keller is licensed to practice in New Mexico (license number PA2016-0078) 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 1770596777.

Contact Information

	Stephen C Keller, PA-C
	4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811
	(505) 888-1075
	(505) 888-1082

Map and Direction

Provider's Profile

Full Name	Stephen C Keller
Gender	Male
Speciality	Physician Assistant
Location	4304 Carlisle Blvd Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770596777
Provider Enumeration Date: 08/14/2006
Last Update Date: 06/11/2018

Medicare PECOS Information:

PECOS PAC ID: 1456477678
Enrollment ID: I20100924001145

Medical Identifiers

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

Identifier	Type	State	Issuer
1770596777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA-598 (Oklahoma)	Secondary
363A00000X	Physician Assistant	PA2016-0078 (New Mexico)	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. Stephen C 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
Stephen C Keller, PA-C 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 Ph: (505) 888-1075	Stephen C Keller, PA-C 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 Ph: (505) 888-1075

Reviews and Comments

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Stephen C Keller, PA-C - Medicare Physician Assistant in Albuquerque, NM