Dr Randall Lauren Keller, PHD in Forest Hills, NY - Medicare Psychologist Provider

Dr Randall Lauren Keller, PHD is a medicare enrolled "Psychologist" provider in Forest Hills, New York. His current practice location is 11021 73rd Rd Apt 1j, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (347) 645-2919.

Dr Randall Lauren Keller is licensed to practice in New York (license number 013488) 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 1407879281.

Contact Information

	Dr Randall Lauren Keller, PHD
	11021 73rd Rd Apt 1j, Forest Hills, NY 11375-6369
	(347) 645-2919
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Randall Lauren Keller
Gender	Male
Speciality	Psychologist
Location	11021 73rd Rd Apt 1j, Forest Hills, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407879281
Provider Enumeration Date: 07/25/2006
Last Update Date: 04/22/2008

Medicare PECOS Information:

PECOS PAC ID: 8426081563
Enrollment ID: I20181214001895

Medical Identifiers

Medical identifiers for Dr Randall Lauren Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407879281	NPI	-	NPPES
02165057	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	013488 (New York)	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 Randall Lauren 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
Dr Randall Lauren Keller, PHD 8510 34th Ave, Apt. 320, Jackson Heights, NY 11372-3244 Ph: (347) 645-2919	Dr Randall Lauren Keller, PHD 11021 73rd Rd Apt 1j, Forest Hills, NY 11375-6369 Ph: (347) 645-2919

Reviews and Comments

Psychologist in Forest Hills, NY

Roselin M Graciano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7000 Austin St, Forest Hills, NY 11375 Phone: 718-762-7633
Dr. Peter Magaro, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7050 Austin St, Suite 106 Ll, Forest Hills, NY 11375 Phone: 718-268-6600
Dr. David S. Ullmann, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 104 70 Queens Boulevard, Suite 200, Forest Hills, NY 11375 Phone: 718-275-6010 Fax: 718-275-6062
Dr. Joseph F. Atanasio Iii, Psychologist Medicare: Medicare Enrolled Practice Location: 7210 112th St Ofc B, Forest Hills, NY 11375 Phone: 862-216-8398 Fax: 718-873-2089
Yvette Cambry, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7000 Austin St, Forest Hills, NY 11375 Phone: 718-762-7633
Dalma Morel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10818 Queens Blvd Ste 4a5th, Forest Hills, NY 11375 Phone: 212-804-7659 Fax: 212-426-8976
Ms. Susan Kulis, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11109 76th Rd, Suite E5, Forest Hills, NY 11375 Phone: 718-793-6963

Dr Randall Lauren Keller, PHD - Medicare Psychologist in Forest Hills, NY