Ketankumar Bodarya, MD in Hattiesburg, MS

Ketankumar Bodarya, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hattiesburg, Mississippi. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Forsyth Memorial Hospital Inc and his current practice location is 2117 Broadway Drive, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 288-8050.

Ketankumar Bodarya is licensed to practice in North Carolina (license number 2021-00515) 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 1831496165.

Contact Information

	Ketankumar Bodarya, MD
	2117 Broadway Drive, Hattiesburg, MS 39402-3210
	(601) 288-8050
	(601) 288-8058

Map and Direction

Physician's Profile

Full Name	Ketankumar Bodarya
Gender	Male
Speciality	Psychiatry
Experience	19 Years
Location	2117 Broadway Drive, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ketankumar Bodarya graduated from medical school in 2006

NPI Data:

NPI Number: 1831496165
Provider Enumeration Date: 02/23/2011
Last Update Date: 06/13/2025

Medicare PECOS Information:

PECOS PAC ID: 9032409313
Enrollment ID: I20210430001533

Medical Identifiers

Medical identifiers for Ketankumar Bodarya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831496165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	2021-00515 (North Carolina)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	D0081182 (Maryland)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Ohio)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2021-00515 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forsyth Memorial Hospital Inc	9537071790	549

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. Ketankumar Bodarya allows following entities to bill medicare on his behalf.

Entity Name	Novant Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

Entity Name	Alamance Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326010273 PECOS PAC ID: 5294647145 Enrollment ID: O20040504000878

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. Ketankumar Bodarya 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
Ketankumar Bodarya, MD 2117 Broadway Drive, Hattiesburg, MS 39402-3210 Ph: (601) 288-8050	Ketankumar Bodarya, MD 2117 Broadway Drive, Hattiesburg, MS 39402-3210 Ph: (601) 288-8050

Reviews and Comments

Psychiatry & Neurology Doctors in Hattiesburg, MS

Dr. Raymond L Struck, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 103 S 19th Ave, Hattiesburg, MS 39401 Phone: 601-544-4641 Fax: 601-582-1607
Joshua A Maksi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5851
Bertha J Blanchard, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 105 Asbury Cir, Suite A, Hattiesburg, MS 39402 Phone: 601-268-5222 Fax: 601-296-3508
Roopsi Bassi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2117 Broadway Drive, Hattiesburg, MS 39402 Phone: 601-288-8050 Fax: 601-288-8058
Dr. Thomas A Miller, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2117 Broadway Drive, Hattiesburg, MS 39402 Phone: 601-288-8050 Fax: 601-288-8058
Jose P Fernandez Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402 Phone: 601-268-5620 Fax: 601-268-5851
Geoffrey B Hartwig, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5851

Ketankumar Bodarya, MD - Medicare Psychiatry in Hattiesburg, MS