Dr Mark H Keeler, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Needham, Massachusetts. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Boston Neuropsychological Services Llc and his current practice location is
687 Highland Ave, Needham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 254-3800.
Dr Mark H Keeler is licensed to practice in Massachusetts (license number 7092) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063579183.
Healthcare Provider's Profile
| Full Name | Dr Mark H Keeler |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 31 Years |
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| Location | 687 Highland Ave, Needham, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark H Keeler graduated from medical school in 1993
NPI Data:
- NPI Number: 1063579183
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 03/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 5092907097
- Enrollment ID: I20101008000779
Medical Identifiers
Medical identifiers for Dr Mark H Keeler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063579183 | NPI | - | NPPES |
| W06000 | Other | MA | BLUE CROSS-BLUE SHIELD |
| 110022270A | Medicaid | MA | |
| 0500054 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 7092 (Massachusetts) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 7092 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Boston Neuropsychological Services Llc | 2668538794 | 11 |
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. Dr Mark H Keeler allows following entities to bill medicare on his behalf.
| Entity Name | Boston Neuropsychological Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407048432
PECOS PAC ID: 2668538794
Enrollment ID: O20090304000750 |
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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. Dr Mark H Keeler 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 |
|---|
Dr Mark H Keeler, PHD
259 Rock St Apt A10,
Norwood, MA 02062-4977
Ph: (781) 769-9689 | Dr Mark H Keeler, PHD
687 Highland Ave,
Needham, MA 02494-2232
Ph: (617) 254-3800 |
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