Dr Traci Alene Kettle, in Idaho Falls, ID - Medicare Marriage And Family Therapist Provider

Dr Traci Alene Kettle, is a medicare enrolled "Marriage & Family Therapist" provider in Idaho Falls, Idaho. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Willow Sage Services Llc and her current practice location is 211 S Woodruff Ave Ste A3, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 524-4818.

Dr Traci Alene Kettle is licensed to practice in Idaho (license number 4694) 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 1679622971.

Contact Information

	Dr Traci Alene Kettle,
	211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401-4865
	(208) 524-4818
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Traci Alene Kettle
Gender	Female
Speciality	Marriage And Family Therapist
Experience	14 Years
Location	211 S Woodruff Ave Ste A3, Idaho Falls, Idaho
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:

Dr Traci Alene Kettle graduated from medical school in 2012

NPI Data:

NPI Number: 1679622971
Provider Enumeration Date: 01/09/2007
Last Update Date: 12/09/2025

Medicare PECOS Information:

PECOS PAC ID: 2062857378
Enrollment ID: I20240227000710

Medical Identifiers

Medical identifiers for Dr Traci Alene Kettle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679622971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	4694 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Willow Sage Services Llc	8527341007	4

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. Dr Traci Alene Kettle allows following entities to bill medicare on her behalf.

Entity Name	Willow Sage Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538611652 PECOS PAC ID: 8527341007 Enrollment ID: O20170207001660

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 Traci Alene Kettle 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 Traci Alene Kettle, 5261 Goldenridge Ct, Camarillo, CA 93012-4129 Ph: (805) 312-4759	Dr Traci Alene Kettle, 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401-4865 Ph: (208) 524-4818

Reviews and Comments

Marriage & Family Therapist in Idaho Falls, ID

Mr. David H. Ridley, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 611 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-557-9724 Fax: 208-524-1701
Dr. Shawn L Thurber, PHD Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr., Idaho Falls, ID 83406 Phone: 208-529-4300 Fax: 208-529-1627
Amy S Schepcoff, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 1904 Jennie Lee Dr, Idaho Falls, ID 83404 Phone: 208-974-5200 Fax: 208-936-7004
Eric Harms, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2088 E 25th St, Idaho Falls, ID 83404 Phone: 208-528-7655
Deborah Joy Clark, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2265 W Broadway St, Idaho Falls, ID 83402 Phone: 208-524-7400
Joel Buxton, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2635 Channing Way, Suite B, Idaho Falls, ID 83404 Phone: 208-552-0490 Fax: 208-552-2518

Dr Traci Alene Kettle, - Medicare Couples Therapy in Idaho Falls, ID