Dr Kelly Carmela Ketchum, MD - Medicare Psychiatry & Neurology in Mt Pleasant, MI

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Dr Kelly Carmela Ketchum, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mt Pleasant, Michigan. Her current practice location is 2790 Health Pkwy, Mt Pleasant, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 953-5320.

Dr Kelly Carmela Ketchum is licensed to practice in Michigan (license number 4351036514) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942739842.

Contact Information

Dr Kelly Carmela Ketchum, MD
2790 Health Pkwy,
Mt Pleasant, MI 48858-6934
(989) 953-5320
(899) 953-5329

Map and Direction




Physician's Profile

Full NameDr Kelly Carmela Ketchum
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location2790 Health Pkwy, Mt Pleasant, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942739842
  • Provider Enumeration Date: 06/06/2017
  • Last Update Date: 04/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8325318835
  • Enrollment ID: I20210422000731

Medical Identifiers

Medical identifiers for Dr Kelly Carmela Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942739842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 4301112519 (Michigan)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 4351036514 (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 Kelly Carmela Ketchum allows following entities to bill medicare on her behalf.
Entity NameState Of Michigan Office Of Financial Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508883299
PECOS PAC ID: 5496650723
Enrollment ID: O20040114000603
Entity NameIsabella Citizens For Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104177195
PECOS PAC ID: 9335386051
Enrollment ID: O20130516000164

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 Kelly Carmela 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 Kelly Carmela Ketchum, MD
2790 Health Pkwy,
Mt Pleasant, MI 48858-6934

Ph: (989) 953-5320		Dr Kelly Carmela Ketchum, MD
2790 Health Pkwy,
Mt Pleasant, MI 48858-6934

Ph: (989) 953-5320

Reviews and Comments


Psychiatry & Neurology Doctors in Mt Pleasant, MI

Rachel Margaret Ann Brown, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 202 Foust Hall, Mt Pleasant, MI 48859
Phone: 989-774-6599    Fax: 989-774-4335
Mr. Mitchel Osman, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 617 E Broadway, Mt Pleasant, MI 48858
Phone: 989-773-6300    Fax: 989-772-9001
Dr. James Randolph Hillard, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 202 Foust Hall, Mt Pleasant, MI 48859
Phone: 989-774-6599    Fax: 989-774-4335
Kenneth Walter Beroza, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1021 S Kinney Street, Mt Pleasant, MI 48858
Phone: 989-773-5095    Fax: 989-772-2827

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.