Dr John Robert J Keller, DMD in Alton, IL - Medicare Dentist Provider

Dr John Robert J Keller, DMD is a medicare enrolled "Dentist" provider in Alton, Illinois. His current practice location is 4113 Humbert Rd, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 465-7777.

Dr John Robert J Keller is licensed to practice in Illinois (license number 019029394) 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 1528406089.

Contact Information

	Dr John Robert J Keller, DMD
	4113 Humbert Rd, Alton, IL 62002-7116
	(618) 465-7777
	Not Available

Healthcare Provider's Profile

Full Name	Dr John Robert J Keller
Gender	Male
Speciality	Dentist
Location	4113 Humbert Rd, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528406089
Provider Enumeration Date: 06/06/2013
Last Update Date: 06/06/2013

Medicare PECOS Information:

PECOS PAC ID: 5496045775
Enrollment ID: I20160526002381

Medical Identifiers

Medical identifiers for Dr John Robert J Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528406089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019029394 (Illinois)	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 John Robert J 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 John Robert J Keller, DMD 4113 Humbert Rd, Alton, IL 62002-7116 Ph: (618) 465-7777	Dr John Robert J Keller, DMD 4113 Humbert Rd, Alton, IL 62002-7116 Ph: (618) 465-7777

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Dr John Robert J Keller, DMD - Medicare Dentist in Alton, IL