Mary Elizabeth Ketchum, LPC in Starkville, MS

Mary Elizabeth Ketchum, LPC is a medicare enrolled "Counselor - Professional" provider in Starkville, Mississippi. Her current practice location is 100 Starr Ave Ste K, Starkville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 425-1051.

Mary Elizabeth Ketchum is licensed to practice in Mississippi (license number 2188) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659867307.

Contact Information

	Mary Elizabeth Ketchum, LPC
	100 Starr Ave Ste K, Starkville, MS 39759-4032
	(662) 425-1051
	(662) 200-5960

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Elizabeth Ketchum
Gender	Female
Speciality	Counselor - Professional
Location	100 Starr Ave Ste K, Starkville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659867307
Provider Enumeration Date: 07/05/2018
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 5395116479
Enrollment ID: I20240118000579

Medical Identifiers

Medical identifiers for Mary Elizabeth Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659867307	NPI	-	NPPES
069799252	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2188 (Mississippi)	Primary

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. Mary Elizabeth Ketchum allows following entities to bill medicare on her behalf.

Entity Name	Starkville Wellness Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437763240 PECOS PAC ID: 3072982545 Enrollment ID: O20230127001982

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. Mary Elizabeth Ketchum 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
Mary Elizabeth Ketchum, LPC 142 Stidham Rd, Mathiston, MS 39752 Ph: (662) 425-1051	Mary Elizabeth Ketchum, LPC 100 Starr Ave Ste K, Starkville, MS 39759-4032 Ph: (662) 425-1051

Reviews and Comments

Counselor in Starkville, MS

Dustin Adams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-324-9647
Melissa Madden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-323-9380
Courtney Welch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-3918
Katherine Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 796 Us 45 Alternate South, Starkville, MS 39759 Phone: 662-338-1880 Fax: 844-270-2703
Loretta Fields, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-323-9380
Alicia Vickers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Starr Ave Ste K, Starkville, MS 39759 Phone: 662-340-5947
Kaitlyn Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Stark Rd # Suietf, Starkville, MS 39759 Phone: 662-601-4011

Mary Elizabeth Ketchum, LPC - Medicare Counselor in Starkville, MS