Dr Michael Peter Keller, LP | |
701 Dellwood St S, Cambridge, MN 55008-1920 | |
(763) 689-8700 | |
Not Available |
Full Name | Dr Michael Peter Keller |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 15 Years |
Location | 701 Dellwood St S, Cambridge, Minnesota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093855488 | NPI | - | NPPES |
298039800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP4821 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Peter Keller, LP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Dr Michael Peter Keller, LP 701 Dellwood St S, Cambridge, MN 55008-1920 Ph: (763) 689-8700 |
Ms. Suzanne Gayle Wenstrom Pocrnich, M.S., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 2nd Ave Sw, Cambridge, MN 55008 Phone: 763-689-9407 | |
Barbara Olivia Erickson, M.A.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 237 2nd Ave Sw, Cambridge, MN 55008 Phone: 651-245-5217 | |
Dr. Richard Anthony Blackburn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 817 Main St N, Cambridge, MN 55008 Phone: 763-325-0300 | |
Dr. Jodi Janice Barstow Boos-blaszyk, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 612-262-1166 | |
Alaina F Everitt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 | |
Marcella Louise Stoeckel, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 2nd Ave Sw, Cambridge, MN 55008 Phone: 763-689-9407 Fax: 763-552-0164 |