Dr James W Ketchum, MD - Medicare Internal Medicine in Ballwin, MO

Dr James W Ketchum, MD is a medicare enrolled "Internal Medicine" physician in Ballwin, Missouri. He went to Southern Illinois University School Of Medicine and graduated in 1982 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mercy Clinic East Communities and his current practice location is 15945 Clayton Rd, Suite 310, Ballwin, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 256-5350.

Dr James W Ketchum is licensed to practice in Missouri (license number R8D28) 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 1386610376.

Contact Information

Dr James W Ketchum, MD
15945 Clayton Rd, Suite 310,
Ballwin, MO 63011-2490
(636) 256-5350
(636) 256-5372

Map and Direction




Physician's Profile

Full NameDr James W Ketchum
GenderMale
SpecialityInternal Medicine
Experience40 Years
Location15945 Clayton Rd, Ballwin, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James W Ketchum attended and graduated from Southern Illinois University School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1386610376
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 10/26/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2365549441
  • Enrollment ID: I20070524000400

Medical Identifiers

Medical identifiers for Dr James W Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386610376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R8D28 (Missouri)Primary

Hospital Affiliation

Hospital NameLocationType
Mercy Hospital St LouisSaint louis, MOAcute Care Hospital
Mercy Hospital WashingtonWashington, MOAcute Care Hospital
Mercy Hospital SouthSaint louis, MOAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic East Communities7214827922418

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 James W Ketchum allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006

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 James W Ketchum 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 James W Ketchum, MD
15945 Clayton Rd, Suite 310,
Ballwin, MO 63011-2490

Ph: (636) 256-5350
Dr James W Ketchum, MD
15945 Clayton Rd, Suite 310,
Ballwin, MO 63011-2490

Ph: (636) 256-5350

Reviews and Comments


Internal Medicine Doctors in Ballwin, MO

Dr. Mazin Hazim Kamil, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15 Remington Place Ct, Ballwin, MO 63021
Phone: 094-122-2052    
Christine A. Sigman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15945 Clayton Rd, Suite 310, Ballwin, MO 63011
Phone: 636-256-5350    Fax: 636-256-5370
Dr. David S Rosenberg, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 58 Meadowbrook Cntry Cl Est, Ballwin, MO 63011
Phone: 314-420-6663    Fax: 636-227-2299
Lauren Bush King, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 15945 Clayton Rd, Suite 340, Ballwin, MO 63011
Phone: 636-256-5130    Fax: 636-256-5147
David M. Schoenwalder, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15945 Clayton Rd, Suite 310, Ballwin, MO 63011
Phone: 636-256-5350    Fax: 636-256-5372
Binwant K Singh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 452a Sovereign Ct, Ballwin, MO 63011
Phone: 636-222-8699    

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.