Dr Bert Edmond Ketchum Iii, OD in Portsmouth, VA

Dr Bert Edmond Ketchum Iii, OD is a medicare enrolled "Optometrist" provider in Portsmouth, Virginia. His current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 953-5000.

Dr Bert Edmond Ketchum Iii is licensed to practice in Virginia (license number 0618003037) 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 1174107866.

Contact Information

	Dr Bert Edmond Ketchum Iii, OD
	620 John Paul Jones Cir, Portsmouth, VA 23708-2111
	(757) 953-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bert Edmond Ketchum Iii
Gender	Male
Speciality	Optometrist
Location	620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174107866
Provider Enumeration Date: 05/08/2021
Last Update Date: 06/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1951702299
Enrollment ID: I20210624001574

Medical Identifiers

Medical identifiers for Dr Bert Edmond Ketchum Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174107866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0618003037 (Virginia)	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 Bert Edmond Ketchum Iii 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 Bert Edmond Ketchum Iii, OD 1001 Monticello Ave Apt 203, Norfolk, VA 23510-2564 Ph: (850) 585-1249	Dr Bert Edmond Ketchum Iii, OD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-5000

Reviews and Comments

Optometrist in Portsmouth, VA

Mary Alison Mercer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400
Dr. Paula Harmon Boone, OD Optometrist Medicare: Medicare Enrolled Practice Location: Bld. 277 Optometry Department, Norfolk Naval Shipyard Branch Health Clinic, Portsmouth, VA 23709 Phone: 757-953-6490
Dr. James V. Cornetta Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 226 Fort Ln, Portsmouth, VA 23704 Phone: 757-393-6131 Fax: 757-393-0976
Dr. William Fletcher Damron, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 226 Fort Ln, Portsmouth, VA 23704 Phone: 757-393-6131 Fax: 757-393-0976
Dr. Fred Martin Ashbrook, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7575 Fax: 757-953-6136
Aftel & Rader, Optometrists, P.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5913 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-488-0192 Fax: 757-488-4567

Dr Bert Edmond Ketchum Iii, OD - Medicare Optometrist in Portsmouth, VA