Donald Kettyls, MD in Los Banos, CA - Medicare Family Medicine

Donald Kettyls, MD is a medicare enrolled "Family Medicine" physician in Los Banos, California. His current practice location is 311 W I St, Los Banos, California. You can reach out to his office (for appointments etc.) via phone at (209) 826-2222.

Donald Kettyls is licensed to practice in California (license number A173802) 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 1851887558.

Contact Information

	Donald Kettyls, MD
	311 W I St, Los Banos, CA 93635-3479
	(209) 826-2222
	Not Available

Map and Direction

Physician's Profile

Full Name	Donald Kettyls
Gender	Male
Speciality	Family Medicine
Location	311 W I St, Los Banos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851887558
Provider Enumeration Date: 07/05/2018
Last Update Date: 08/04/2021

Medicare PECOS Information:

PECOS PAC ID: 2668878737
Enrollment ID: I20210915001716

Medical Identifiers

Medical identifiers for Donald Kettyls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851887558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A173802 (California)	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. Donald Kettyls allows following entities to bill medicare on his behalf.

Entity Name	Karthikeya Devireddy Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518089507 PECOS PAC ID: 3072566728 Enrollment ID: O20080115000741

Entity Name	Kd Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457522567 PECOS PAC ID: 2860553468 Enrollment ID: O20081201000491

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. Donald Kettyls 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
Donald Kettyls, MD 311 W I St, Los Banos, CA 93635-3479 Ph: (209) 826-2222	Donald Kettyls, MD 311 W I St, Los Banos, CA 93635-3479 Ph: (209) 826-2222

Reviews and Comments

Family Medicine Doctors in Los Banos, CA

Dr. Rodolfo M Garcia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 808 Iowa Ave, Los Banos, CA 93635 Phone: 209-710-4124 Fax: 209-710-4131
Pooja Baijal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 821 Texas Ave, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-826-0952
Dr. Laurie Hedden, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 285 Mercey Springs Rd, Ste A, Los Banos, CA 93635 Phone: 209-829-0444 Fax: 209-829-0445
Dr. Christopher P. Costa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 821 Texas Ave, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-826-0952
Dr. Julian Y Yip, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 808 Iowa Ave, Los Banos, CA 93635 Phone: 209-826-5913 Fax: 209-826-2652
Stefan Elazier, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 W I St, Los Banos, CA 93635 Phone: 209-826-2222
Dr. Daniel E Hardy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W L St, Los Banos, CA 93635 Phone: 209-827-3303 Fax: 209-827-3743

Donald Kettyls, MD - Medicare Family Medicine in Los Banos, CA