Matthew A Ketelaar, MD in Davenport, IA - Medicare Diagnostic Radiology

Matthew A Ketelaar, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Davenport, Iowa. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Group Pc Sc and his current practice location is 1970 E 53rd St, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 359-3949.

Matthew A Ketelaar is licensed to practice in Iowa (license number 28007) 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 1336109180.

Contact Information

	Matthew A Ketelaar, MD
	1970 E 53rd St, Davenport, IA 52807-2710
	(563) 359-3949
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew A Ketelaar
Gender	Male
Speciality	Diagnostic Radiology
Experience	35 Years
Location	1970 E 53rd St, Davenport, Iowa
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:

Matthew A Ketelaar attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1989

NPI Data:

NPI Number: 1336109180
Provider Enumeration Date: 03/24/2006
Last Update Date: 05/05/2021

Medicare PECOS Information:

PECOS PAC ID: 3173603651
Enrollment ID: I20111201000389

Medical Identifiers

Medical identifiers for Matthew A Ketelaar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336109180	NPI	-	NPPES
300034141	Other		RR MDC RGPCSC
5096792	Medicaid	IA
2096792	Medicaid	IA
300132302	Other		RR MDC RGIC LLC
32281	Other		BCBS IA RGPCSC
06050	Other		BCBS IA RGIC LLC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	28007 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Genesis Medical Center-davenport	Davenport, IA	Hospital
Genesis Hlth System Dba Genesis Mdl Ctr-illini	Silvis, IL	Hospital
Mercyone Clinton Medical Center	Clinton, IA	Hospital
Genesis Medical Center-dewitt	Dewitt, IA	Hospital
Genesis Medical Center, Aledo	Aledo, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radiology Group Pc Sc	9032008537	20

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. Matthew A Ketelaar allows following entities to bill medicare on his behalf.

Entity Name	Radiology Group Pc Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073573994 PECOS PAC ID: 9032008537 Enrollment ID: O20111128000781

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. Matthew A Ketelaar 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
Matthew A Ketelaar, MD 1970 E 53rd St, Davenport, IA 52807-2710 Ph: (563) 359-3949	Matthew A Ketelaar, MD 1970 E 53rd St, Davenport, IA 52807-2710 Ph: (563) 359-3949

Reviews and Comments

Radiology Doctors in Davenport, IA

Dr. Christine M Sharis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1900 Fax: 563-421-1938
John W Rogers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949
Jason Benjamin Mueller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 Fax: 563-355-1159
Andrew E Berkow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949
Dr. Antonio P Vigliotti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1900 Fax: 563-421-1938
Robert W Hartung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949
Joseph M Phelan, MD Radiology Medicare: Medicare Enrolled Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949

Matthew A Ketelaar, MD - Medicare Diagnostic Radiology in Davenport, IA