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

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Leah Ketchum, NP is a medicare enrolled "Nurse Practitioner - Family" in Ridgeland, Mississippi. Her current practice location is 1000 Highland Colony Pkwy Ste 5203, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (855) 212-2273.

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
1000 Highland Colony Pkwy Ste 5203,
Ridgeland, MS 39157-2079
(855) 212-2273
(629) 240-6003

Map and Direction




Provider's Profile

Full NameLeah Ketchum
GenderFemale
SpecialityNurse Practitioner - Family
Location1000 Highland Colony Pkwy Ste 5203, Ridgeland, Mississippi
Accepts Medicare AssignmentsMedicare 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: 10/22/2026
  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.
IdentifierTypeStateIssuer
1780141044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 903189 (Mississippi)Primary
363L00000XNurse 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 NameFast Pace Mississippi PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameYazoo Emergency Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447806914
PECOS PAC ID: 0749511574
Enrollment ID: O20191009002380
Entity NameMonogram Health Professional Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Leah Ketchum, NP
5410 Maryland Way Ste 400,
Brentwood, TN 37027-8087

Ph: (855) 212-2273		Leah Ketchum, NP
1000 Highland Colony Pkwy Ste 5203,
Ridgeland, MS 39157-2079

Ph: (855) 212-2273

Reviews and Comments


Nurse Practitioner Nurses in Ridgeland, MS

Ebonique Martin Buckner, NP-C
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Mrs. Ana Evelia Recinos, FNP
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Phone: 601-707-3737    
Ms. Larona Rachelle Searcy, FNP
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Madison Lynn Tolbert, FNP
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Practice Location: 680 Highway 51 Ste D, Ridgeland, MS 39157
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Kenneth Kaiser, NP
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Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157
Phone: 601-856-2460    Fax: 601-856-4687

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.