Dr Courtland Keith Keteyian, MD - Medicare Preventive Medicine in Jackson, MI

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Dr Courtland Keith Keteyian, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Jackson, Michigan. His current practice location is 205 N. East Avenue, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 205-5995.

Dr Courtland Keith Keteyian is licensed to practice in Michigan (license number 4301098782) 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 1821382235.

Contact Information

Dr Courtland Keith Keteyian, MD
205 N. East Avenue,
Jackson, MI 49201
(517) 205-5995
Not Available

Map and Direction




Physician's Profile

Full NameDr Courtland Keith Keteyian
GenderMale
SpecialityPreventive Medicine - Public Health & General Preventive Medicine
Location205 N. East Avenue, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821382235
  • Provider Enumeration Date: 06/02/2011
  • Last Update Date: 03/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991099590
  • Enrollment ID: I20160804000909

Medical Identifiers

Medical identifiers for Dr Courtland Keith Keteyian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821382235NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine 4301098782 (Michigan)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. Dr Courtland Keith Keteyian allows following entities to bill medicare on his behalf.
Entity NameW.a. Foote Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760437826
PECOS PAC ID: 0244136067
Enrollment ID: O20031212000691
Entity NameW.a. Foote Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265487722
PECOS PAC ID: 0244136067
Enrollment ID: O20031215000808

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 Courtland Keith Keteyian 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 Courtland Keith Keteyian, MD
205 N. East Avenue,
Jackson, MI 49201

Ph: () -		Dr Courtland Keith Keteyian, MD
205 N. East Avenue,
Jackson, MI 49201

Ph: (517) 205-5995

Reviews and Comments


Preventive Medicine Doctors in Jackson, MI

Rachel Gallaway, MA, AT, ATC
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Medicare: Not Enrolled in Medicare
Practice Location: 1201 E Michigan Ave, Jackson, MI 49201
Phone: 517-205-1431    
Roger Earl Bloomer, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2200 Springport Rd Ste 500, Jackson, MI 49202
Phone: 517-205-3273    Fax: 517-205-1698
Dr. Pamela B Hackert, M.D., J.D., M.P.H.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 E Michigan Ave Ste 101, Jackson, MI 49201
Phone: 517-205-7766    
Amy Schultz, MD, MPH
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Medicare: Not Enrolled in Medicare
Practice Location: 1715 Lansing Ave Ste 221, Jackson, MI 49202
Phone: 517-788-4420    
Alyssa Austin,
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1201 E Michigan Ave Ste 300, Jackson, MI 49201
Phone: 517-205-1431    

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.