Shauna Marie Ketchum, RPA-C - Medicare Physician Assistant in Brockport, NY

Shauna Marie Ketchum, RPA-C is a medicare enrolled "Physician Assistant - Medical" in Brockport, New York. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Oak Orchard Community Health Center, Inc. and her current practice location is 300 West Ave, Brockport, New York. You can reach out to her office (for appointments etc.) via phone at (585) 637-3905.

Shauna Marie Ketchum is licensed to practice in New York (license number 013457-1) 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 1750617072.

Contact Information

Shauna Marie Ketchum, RPA-C
300 West Ave,
Brockport, NY 14420-1118
(585) 637-3905
(585) 637-4990

Map and Direction




Provider's Profile

Full NameShauna Marie Ketchum
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location300 West Ave, Brockport, New York
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:
  • Shauna Marie Ketchum graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1750617072
  • Provider Enumeration Date: 10/21/2009
  • Last Update Date: 09/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9830374529
  • Enrollment ID: I20110422000102

Medical Identifiers

Medical identifiers for Shauna Marie Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750617072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 013457-1 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rochester General HospitalRochester, NYHospital
Strong Memorial HospitalRochester, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oak Orchard Community Health Center, Inc.549674692728

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. Shauna Marie 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
Shauna Marie Ketchum, RPA-C
300 West Ave,
Brockport, NY 14420-1118

Ph: (585) 637-3905
Shauna Marie Ketchum, RPA-C
300 West Ave,
Brockport, NY 14420-1118

Ph: (585) 637-3905

Reviews and Comments


Physician Assistant Nurses in Brockport, NY

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Phone: 585-637-3905    Fax: 585-637-4990
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Practice Location: 156 West Ave Fl 2, Brockport, NY 14420
Phone: 585-758-7557    Fax: 585-637-5626

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.