Elizabeth Ketchum, in Tacoma, WA - Medicare Pediatrics

Elizabeth Ketchum, is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Tacoma, Washington. Her current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (301) 295-4900.

Elizabeth Ketchum is licensed to practice in Virginia (license number 0101267984) 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 1295236982.

Contact Information

	Elizabeth Ketchum,
	9040 Jackson Ave, Tacoma, WA 98431-0004
	(301) 295-4900
	Not Available

Map and Direction

Physician's Profile

Full Name	Elizabeth Ketchum
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295236982
Provider Enumeration Date: 02/27/2018
Last Update Date: 07/07/2025

Medicare PECOS Information:

PECOS PAC ID: 8527463108
Enrollment ID: I20210819001671

Medical Identifiers

Medical identifiers for Elizabeth Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295236982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101267984 (Virginia)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	0101267984 (Virginia)	Primary

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. Elizabeth 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
Elizabeth Ketchum, 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: () -	Elizabeth Ketchum, 9040 Jackson Ave, Tacoma, WA 98431-0004 Ph: (301) 295-4900

Reviews and Comments

Pediatrics Doctors in Tacoma, WA

Alexander L Bowers, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9040a Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431 Phone: 253-968-3066
David Lee Robinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252
Nan Shin Moynihan, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1112 S Cushman Ave, Tacoma, WA 98405 Phone: 253-593-2144 Fax: 253-280-9881
Arthur L Walter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Pediatric Extended Care Clinic, Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-3066
Bradley Stanton Hood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 S L St, Tacoma, WA 98405 Phone: 253-403-1540
Kirk N. Liesemer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3066
Christopher Anthony Bellotti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 603 S J St Ste 102, Tacoma, WA 98405 Phone: 253-396-4868 Fax: 253-396-4870

Elizabeth Ketchum, - Medicare Pediatrics in Tacoma, WA