Yousif Kettoola, MD in Evansville, IN - Medicare Student in an Organized Health Care Education/Training Program

Yousif Kettoola, MD - Medicare Student in an Organized Health Care Education/Training Program in Evansville, IN

Yousif Kettoola, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Evansville, Indiana. His current practice location is 801 Saint Marys Dr Ste 300, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 485-5300.

Yousif Kettoola is licensed to practice in Indiana (license number 01100176A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811573488.

Contact Information

	Yousif Kettoola, MD
	801 Saint Marys Dr Ste 300, Evansville, IN 47714-0511
	(812) 485-5300
	Not Available

Map and Direction

Physician's Profile

Full Name	Yousif Kettoola
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	801 Saint Marys Dr Ste 300, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811573488
Provider Enumeration Date: 03/23/2021
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 8820495500
Enrollment ID: I20210922002626

Medical Identifiers

Medical identifiers for Yousif Kettoola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811573488	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A200764 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	01100176A (Indiana)	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. Yousif Kettoola 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
Yousif Kettoola, MD 801 Saint Marys Dr Ste 300, Evansville, IN 47714-0511 Ph: (812) 485-5300	Yousif Kettoola, MD 801 Saint Marys Dr Ste 300, Evansville, IN 47714-0511 Ph: (812) 485-5300