Dr Jaclyn Ann Keller, OD is a
Optometrist based in Oconto, Wisconsin. Dr Jaclyn Ann Keller is licensed to practice in Wisconsin (license number 3228-35) and her current practice location is
126 Charles St, Oconto, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 834-5251.
NPI number for Dr Jaclyn Ann Keller is 1154617652 and her current mailing address is 126 Charles St, Oconto, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154617652.
Healthcare Provider's Profile
| Full Name | Dr Jaclyn Ann Keller |
|---|
| Gender | Female |
|---|
| Speciality | Optometrist |
|---|
| Location | 126 Charles St, Oconto, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154617652
- Provider Enumeration Date: 06/22/2011
- Last Update Date: 08/27/2013
Medical Identifiers
Medical identifiers for Dr Jaclyn Ann Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154617652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 3228-35 (Wisconsin) | 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. Dr Jaclyn Ann 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 |
|---|
Dr Jaclyn Ann Keller, OD
126 Charles St,
Oconto, WI 54153-9446
Ph: (920) 834-5251 | Dr Jaclyn Ann Keller, OD
126 Charles St,
Oconto, WI 54153-9446
Ph: (920) 834-5251 |
Reviews and Comments