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

Theresa Ketchum-fish, is a medicare enrolled "Counselor - Professional" provider in Ashland, Wisconsin. 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 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 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	Counselor - Professional
Location	300 Main St W, Ashland, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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

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: Medicare Enrolled 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