Leah Ketchum, NP in Morton, MS - Medicare Nurse Practitioner

Leah Ketchum, NP is a medicare enrolled "Nurse Practitioner - Family" in Morton, Mississippi. Her current practice location is 317 Highway 13 S, Morton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 732-6301.

Leah Ketchum is licensed to practice in Mississippi (license number 903189) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780141044.

Contact Information

	Leah Ketchum, NP
	317 Highway 13 S, Morton, MS 39117-3353
	(601) 732-6301
	Not Available

Map and Direction

Provider's Profile

Full Name	Leah Ketchum
Gender	Female
Speciality	Nurse Practitioner - Family
Location	317 Highway 13 S, Morton, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780141044
Provider Enumeration Date: 02/22/2019
Last Update Date: 04/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3072856236
Enrollment ID: I20190510001451

Medical Identifiers

Medical identifiers for Leah Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780141044	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903189 (Mississippi)	Primary
363L00000X	Nurse Practitioner	903189 (Mississippi)	Secondary

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. Leah Ketchum allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Entity Name	Yazoo Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447806914 PECOS PAC ID: 0749511574 Enrollment ID: O20191009002380

Entity Name	Monogram Health Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326655986 PECOS PAC ID: 4880004183 Enrollment ID: O20210111001028

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. Leah Ketchum 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
Leah Ketchum, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Leah Ketchum, NP 317 Highway 13 S, Morton, MS 39117-3353 Ph: (601) 732-6301

Reviews and Comments

Nurse Practitioner Nurses in Morton, MS

Jamie Renee Rawson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 Old Hwy 13 S, Morton, MS 39117 Phone: 601-732-8612 Fax: 601-732-8408
Mrs. Ashley Murphy Shivers, F.N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 321 Highway 13 S, Morton, MS 39117 Phone: 601-732-8612 Fax: 601-732-1957
Ruby L Lucroy, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 321 Highway 13 S, Morton, MS 39117 Phone: 601-732-8612 Fax: 601-732-1957
Maggie A Dawson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 Highway 13 S, Morton, MS 39117 Phone: 601-732-8612 Fax: 601-732-1957
Audrey Alexander, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Old Highway 80 E, Morton, MS 39117 Phone: 731-394-1145
Tiffinee Darden, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 321 Highway 13 S, Morton, MS 39117 Phone: 601-732-8612
Daniel M Walker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 347 S Fourth St, Morton, MS 39117 Phone: 601-732-1524

Leah Ketchum, NP - Medicare Nurse Practitioner in Morton, MS