| Dr Kevan E Ketterling, MD | |
|
2525 Kaneville Rd, Geneva, IL 60134-2578 | |
| (630) 584-1400 | |
| (630) 584-1733 |
| Full Name | Dr Kevan E Ketterling |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 2525 Kaneville Rd, Geneva, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770563710 | NPI | - | NPPES |
| 141081 | Other | IL | MEDICARE FACILITY |
| CF2064 | Other | IL | RAILROAD GROUP |
| 200007873 | Other | IL | RAILROAD MEDICARE |
| 036082353 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 36082353 (Illinois) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 036082353 (Illinois) | Primary |
| Entity Name | Fox Valley Orthopaedic Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295706851 PECOS PAC ID: 6507830387 Enrollment ID: O20040826000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevan E Ketterling, MD 2525 Kaneville Rd, Geneva, IL 60134-2578 Ph: (630) 584-1400 | Dr Kevan E Ketterling, MD 2525 Kaneville Rd, Geneva, IL 60134-2578 Ph: (630) 584-1400 |
Dr. Merle John Denker, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2525 Kaneville Rd, Geneva, IL 60134 Phone: 630-584-1400 Fax: 630-584-1733 | |
Timothy S Petsche, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2525 Kaneville Rd, Geneva, IL 60134 Phone: 630-584-1400 Fax: 630-584-1733 | |
Dr. Craig M Torosian, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2525 Kaneville Rd, Geneva, IL 60134 Phone: 630-584-1400 Fax: 630-584-1733 | |
Dr. David R Morawski, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2525 Kaneville Rd, Geneva, IL 60134 Phone: 630-584-1400 Fax: 630-584-1733 | |
Dr. James Patrick Sostak Ii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2525 Kaneville Road, Fox Valley Orthopedics, Geneva, IL 60134 Phone: 630-584-1400 Fax: 630-584-1733 | |
Thomas A Atkins, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2525 Kaneville Rd, Geneva, IL 60134 Phone: 630-584-1400 Fax: 630-584-1733 | |
Vishal M Mehta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2525 Kaneville Rd, Geneva, IL 60134 Phone: 630-584-1400 Fax: 630-584-1733 |