Dr Corey J Ketchem, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chapel Hill, North Carolina. He went to University Of Louisville School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is
102 Mason Farm Rd, Chapel Hill, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(984) 984-4462.
Dr Corey J Ketchem is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043743446.
Physician's Profile
| Full Name | Dr Corey J Ketchem |
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| Gender | Male |
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| Speciality | Gastroenterology |
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| Experience | 6 Years |
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| Location | 102 Mason Farm Rd, Chapel Hill, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Corey J Ketchem attended and graduated from University Of Louisville School Of Medicine in 2019
NPI Data:
- NPI Number: 1043743446
- Provider Enumeration Date: 04/04/2017
- Last Update Date: 06/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496088312
- Enrollment ID: I20250609002504
Medical Identifiers
Medical identifiers for Dr Corey J Ketchem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043743446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | 036174084 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
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 Corey J Ketchem allows following entities to bill medicare on his behalf.
| Entity Name | Northwestern Medical Faculty Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541 |
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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 Corey J Ketchem 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 |
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Dr Corey J Ketchem, MD
102 Mason Farm Rd,
Chapel Hill, NC 27599-6134
Ph: (984) 984-4462 | Dr Corey J Ketchem, MD
102 Mason Farm Rd,
Chapel Hill, NC 27599-6134
Ph: (984) 984-4462 |
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