| Mr James A Ketoff, MD | |
|
97 Highway 125, Roanoke Rapids, NC 27870 | |
| (252) 537-1933 | |
| (252) 537-1936 |
| Full Name | Mr James A Ketoff |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 97 Highway 125, Roanoke Rapids, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700801289 | NPI | - | NPPES |
| 7302291 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101055976 (Virginia) | Secondary |
| 208600000X | Surgery | 200600242 (North Carolina) | Primary |
| Entity Name | Roanoke Valley Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720198369 PECOS PAC ID: 4587573159 Enrollment ID: O20050119001033 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James A Ketoff, MD 97 Highway 125, Roanoke Rapids, NC 27870 Ph: (252) 537-1933 | Mr James A Ketoff, MD 97 Highway 125, Roanoke Rapids, NC 27870 Ph: (252) 537-1933 |
Peter Muller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 244 Smith Church Rd, Building 5, Roanoke Rapids, NC 27870 Phone: 252-535-2350 | |
Michael Wegener, MD Surgery Medicare: Medicare Enrolled Practice Location: 97 Nc-125, Roanoke Rapids, NC 27870 Phone: 252-537-1933 Fax: 252-537-1936 | |
Dr. Jonte Amere Miller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8011 |