Mr Kevin C Ketchum, MS in Braintree, MA - Medicare Counselor Provider

Mr Kevin C Ketchum, MS is a medicare enrolled "Counselor - Mental Health" provider in Braintree, Massachusetts. His current practice location is 639 Granite St Ste 310, Braintree, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 935-7748.

Mr Kevin C Ketchum is licensed to practice in * (Not Available) (license number ) 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 1770605131.

Contact Information

	Mr Kevin C Ketchum, MS
	639 Granite St Ste 310, Braintree, MA 02184-5370
	(617) 935-7748
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin C Ketchum
Gender	Male
Speciality	Counselor - Mental Health
Location	639 Granite St Ste 310, Braintree, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770605131
Provider Enumeration Date: 04/05/2007
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1153867049
Enrollment ID: I20240727000321

Medical Identifiers

Medical identifiers for Mr Kevin C Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770605131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Mr Kevin C Ketchum allows following entities to bill medicare on his behalf.

Entity Name	Nova Psychiatric Services, P.c
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881782522 PECOS PAC ID: 4183524887 Enrollment ID: O20040109000776

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. Mr Kevin C 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
Mr Kevin C Ketchum, MS 267 Neck St # Uc5, North Weymouth, MA 02191-1939 Ph: (617) 935-7748	Mr Kevin C Ketchum, MS 639 Granite St Ste 310, Braintree, MA 02184-5370 Ph: (617) 935-7748

Reviews and Comments

Counselor in Braintree, MA

Thomas W Taborelli, MS CCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Washington St, 2nd Flr, Braintree, MA 02184 Phone: 617-847-1950 Fax: 949-699-0535
Josh Coronis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 106, Braintree, MA 02184 Phone: 781-817-6675
Maya A. Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-843-3683
Chantelle Freeman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-428-4904 Fax: 781-848-0206
Julius Enang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-492-6408
Claire Casserly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 781-817-6675 Fax: 781-817-6745
Samantha Small, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 508-678-2833

Mr Kevin C Ketchum, MS - Medicare Counselor in Braintree, MA