Dr Clint Ketchel, MD - Medicare Family Medicine in Lake Elsinore, CA

Dr Clint Ketchel, MD is a medicare enrolled "Family Medicine" physician in Lake Elsinore, California. His current practice location is 30195 Fraser Dr, Lake Elsinore, California. You can reach out to his office (for appointments etc.) via phone at (951) 252-2720.

Dr Clint Ketchel is licensed to practice in California (license number A135564) 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 1699038125.

Contact Information

Dr Clint Ketchel, MD
30195 Fraser Dr,
Lake Elsinore, CA 92530-7006
(951) 252-2720
(760) 414-3892

Map and Direction




Physician's Profile

Full NameDr Clint Ketchel
GenderMale
SpecialityFamily Medicine
Location30195 Fraser Dr, Lake Elsinore, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699038125
  • Provider Enumeration Date: 06/19/2012
  • Last Update Date: 02/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4587888292
  • Enrollment ID: I20190703001890

Medical Identifiers

Medical identifiers for Dr Clint Ketchel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699038125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301100963 (Michigan)Secondary
207Q00000XFamily Medicine A135564 (California)Primary

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 Clint Ketchel 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 AddressPractice Location Address
Dr Clint Ketchel, MD
1000 Vale Terrace Dr,
Vista, CA 92084-5218

Ph: (760) 631-5000
Dr Clint Ketchel, MD
30195 Fraser Dr,
Lake Elsinore, CA 92530-7006

Ph: (951) 252-2720

Reviews and Comments


Family Medicine Doctors in Lake Elsinore, CA

J M Asprec, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 31571 Canyon Estates Dr, Suite 225, Lake Elsinore, CA 92532
Phone: 951-674-7811    Fax: 951-674-7812
Vincent Lieras, PA
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 31581 Canyon Estates Dr, Lake Elsinore, CA 92532
Phone: 951-244-3500    
Biplav Yadav, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31361 Riverside Dr, Lake Elsinore, CA 92530
Phone: 844-308-5003    Fax: 760-414-3892
Dr. Naimah D. Powell, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 425 Diamond Drive, Suite 105, Lake Elsinore, CA 92530
Phone: 951-674-8779    Fax: 951-674-1403
Dr. Mohammad Reza Danesh, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31581 Canyon Estates Dr, Lake Elsinore, CA 92532
Phone: 951-244-3500    Fax: 951-244-3535
Monica Vidal,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 31361 Riverside Dr, Lake Elsinore, CA 92530
Phone: 844-308-5003    Fax: 760-414-3892

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.