Candice Ketelsen, PA - Medicare Physician Assistant in Lewiston, ID

Candice Ketelsen, PA is a medicare enrolled "Physician Assistant" in Lewiston, Idaho. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Catalyst Medical Group Pllc, Gritman Medical Center Inc and her current practice location is 1203 Idaho St, Lewiston, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 848-8300.

Candice Ketelsen is licensed to practice in Idaho (license number PA-1496) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073040515.

Contact Information

Candice Ketelsen, PA
1203 Idaho St,
Lewiston, ID 83501-1940
(208) 848-8300
Not Available

Map and Direction




Provider's Profile

Full NameCandice Ketelsen
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location1203 Idaho St, Lewiston, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Candice Ketelsen graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1073040515
  • Provider Enumeration Date: 05/15/2017
  • Last Update Date: 10/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759653363
  • Enrollment ID: I20170816003937

Medical Identifiers

Medical identifiers for Candice Ketelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073040515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA60758102 (Washington)Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant PA-1496 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gritman Medical CenterMoscow, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Catalyst Medical Group Pllc236572210536
Gritman Medical Center Inc094154578418

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. Candice Ketelsen 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 AddressPractice Location Address
Candice Ketelsen, PA
611 N Iron Bridge Way,
Spokane, WA 99202-4932

Ph: (509) 444-8888
Candice Ketelsen, PA
1203 Idaho St,
Lewiston, ID 83501-1940

Ph: (208) 848-8300

Reviews and Comments


Physician Assistant Nurses in Lewiston, ID

Christopher V Ricketts, PA
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Phone: 208-799-5280    
Mr. Gregory Robert Obray, PA-C
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Vincent Fibelstad, PA
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Medicare: Not Enrolled in Medicare
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Phone: 208-743-2511    Fax: 208-799-5554
Breanne L Lybyer, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2315 8th St, Lewiston, ID 83501
Phone: 208-746-1383    Fax: 208-746-6348
Ms. Laura Marie Gifford, PA-C
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Medicare: Medicare Enrolled
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-743-2511    
Mr. Nicholas Tieu, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-743-2511    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.