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

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 Name	Dr Kelly Carmela Ketchum
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	2790 Health Pkwy, Mt Pleasant, Michigan
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1942739842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	4301112519 (Michigan)	Secondary
2084P0800X	Psychiatry & 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 Name	Isabella Citizens For Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

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