Eric Lee Ketchum, OD is a medicare enrolled "Optometrist" provider in Emory, Texas. He went to University Of Houston - College Of Optometry and graduated in 2011 and has 14 years of diverse experience with area of expertise as Optometry. His current practice location is
886 E Lennon Dr Ste 102, Emory, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 474-9090.
Eric Lee Ketchum is licensed to practice in Texas (license number 7878T) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275820649.
Healthcare Provider's Profile
| Full Name | Eric Lee Ketchum |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 14 Years |
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| Location | 886 E Lennon Dr Ste 102, Emory, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eric Lee Ketchum attended and graduated from University Of Houston - College Of Optometry in 2011
NPI Data:
- NPI Number: 1275820649
- Provider Enumeration Date: 07/06/2011
- Last Update Date: 07/06/2011
Medicare PECOS Information:
- PECOS PAC ID: 4486824505
- Enrollment ID: I20110829000545
Medical Identifiers
Medical identifiers for Eric Lee Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275820649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 7878T (Texas) | Primary |
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. Eric Lee Ketchum allows following entities to bill medicare on his behalf.
| Provider Name | Elk Vision Holdings Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1619264090
PECOS PAC ID: 3577733690
Enrollment ID: O20110829000531 |
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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. Eric Lee 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 |
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Eric Lee Ketchum, OD
886 E Lennon Dr Ste 102,
Emory, TX 75440-3216
Ph: (903) 474-9090 | Eric Lee Ketchum, OD
886 E Lennon Dr Ste 102,
Emory, TX 75440-3216
Ph: (903) 474-9090 |
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