Mark Keller, MSPT in Pennington, NJ - Medicare Physical Therapist Provider

Mark Keller, MSPT is a medicare enrolled "Physical Therapist" provider in Pennington, New Jersey. His current practice location is 122 Brandon Rd, Pennington, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 642-5083.

Mark Keller is licensed to practice in New Jersey (license number 40QA01104200) 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 1922769173.

Contact Information

	Mark Keller, MSPT
	122 Brandon Rd, Pennington, NJ 08534-1931
	(908) 642-5083
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Keller
Gender	Male
Speciality	Physical Therapist
Location	122 Brandon Rd, Pennington, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922769173
Provider Enumeration Date: 01/09/2022
Last Update Date: 02/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8022402809
Enrollment ID: I20220221000594

Medical Identifiers

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

Identifier	Type	State	Issuer
1922769173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01104200 (New Jersey)	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. Mark Keller allows following entities to bill medicare on his behalf.

Provider Name	Fox Rehabilitation Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554

Provider Name	Activcore Health Network Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659784767 PECOS PAC ID: 9830400456 Enrollment ID: O20150623001065

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. Mark 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
Mark Keller, MSPT 800 Bunn Dr, Ste 102, Princeton, NJ 08540-1968 Ph: (908) 642-5083	Mark Keller, MSPT 122 Brandon Rd, Pennington, NJ 08534-1931 Ph: (908) 642-5083

Reviews and Comments

Physical Therapist in Pennington, NJ

Dr. Eli Cole Epstein, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Denow Rd, Suite U, Pennington, NJ 08534 Phone: 609-737-8130 Fax: 609-737-8131
Heal Well Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 Bramble Dr, Pennington, NJ 08534 Phone: 917-664-3213
Ms. Marylouise Jani, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Denow Rd, Suite U, Pennington, NJ 08534 Phone: 609-737-8130 Fax: 609-737-8131
Hannah Olshevski, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Denow Rd Ste U, Pennington, NJ 08534 Phone: 609-737-8130 Fax: 609-737-8131
Angelo Stefani, Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 Denow Rd, #u, Pennington, NJ 08534 Phone: 609-737-8130
Dr. Brad Zatcoff, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Denow Rd Ste U, Pennington, NJ 08534 Phone: 609-737-8130 Fax: 609-737-8131
Lillian Capone, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Denow Rd Ste U, Pennington, NJ 08534 Phone: 609-737-8130 Fax: 609-737-8131

Mark Keller, MSPT - Medicare Physical Therapist in Pennington, NJ