Theresa Ketchum-fish, in Ashland, WI - Medicare Mental Health Counselor Provider

Theresa Ketchum-fish, is a medicare enrolled "Counselor - Professional" provider in Ashland, Wisconsin. She graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis and her current practice location is 300 Main St W, Ashland, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 685-2200.

Theresa Ketchum-fish is licensed to practice in Wisconsin (license number 6395-125) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194126433.

Contact Information

	Theresa Ketchum-fish,
	300 Main St W, Ashland, WI 54806-1639
	(715) 685-2200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Ketchum-fish
Gender	Female
Speciality	Mental Health Counselor
Experience	12 Years
Location	300 Main St W, Ashland, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theresa Ketchum-fish graduated from medical school in 2013

NPI Data:

NPI Number: 1194126433
Provider Enumeration Date: 09/05/2014
Last Update Date: 03/01/2017

Medicare PECOS Information:

PECOS PAC ID: 9032558218
Enrollment ID: I20240420000168

Medical Identifiers

Medical identifiers for Theresa Ketchum-fish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194126433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6395-125 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis	7810089414	10

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. Theresa Ketchum-fish allows following entities to bill medicare on her behalf.

Entity Name	Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699701375 PECOS PAC ID: 7810089414 Enrollment ID: O20160330000840

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. Theresa Ketchum-fish 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
Theresa Ketchum-fish, 7665 Us Highway 2, Iron River, WI 54847-4690 Ph: (715) 685-2200	Theresa Ketchum-fish, 300 Main St W, Ashland, WI 54806-1639 Ph: (715) 685-2200

Reviews and Comments

Counselor in Ashland, WI

Roseanne Bitzer, MSE, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Ellis Ave Ste 1, Ashland, WI 54806 Phone: 715-682-3523 Fax: 715-682-3526
Lori Anne Decarlo-kienitz, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Main St W Ste 305, Ashland, WI 54806 Phone: 715-682-5207 Fax: 715-682-5209
Nicole Landucci, Counselor Medicare: Not Enrolled in Medicare Practice Location: 517 Beaser Ave, Ashland, WI 54806 Phone: 651-249-6533
Russell John Denomie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 53585 Nokomis Rd, Ashland, WI 54806 Phone: 715-682-7133
Alexandra Bice, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1613 3rd St W, Ashland, WI 54806 Phone: 715-682-2141
Holly H Hagstrom, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Lake Shore Dr E, Ashland, WI 54806 Phone: 715-682-3523 Fax: 715-682-3526
Ms. Janet M Lewis, LPC, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1635 Maple Ln, Ashland, WI 54806 Phone: 715-685-5400 Fax: 715-685-5102

Theresa Ketchum-fish, - Medicare Counselor in Ashland, WI