Dr Stacey Ann Ketchman, PSYD - Medicare Psychologist in Fort Bragg, NC

Dr Stacey Ann Ketchman, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Bragg, North Carolina. Her current practice location is Womack Army Medical Center, Fort Bragg, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 907-8198.

Dr Stacey Ann Ketchman is licensed to practice in Alabama (license number 1367) 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 1477526903.

Contact Information

Dr Stacey Ann Ketchman, PSYD
Womack Army Medical Center,
Fort Bragg, NC 28310-0001
(910) 907-8198
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Stacey Ann Ketchman
GenderFemale
SpecialityPsychologist - Clinical
LocationWomack Army Medical Center, Fort Bragg, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477526903
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658567466
  • Enrollment ID: I20101118001175

Medical Identifiers

Medical identifiers for Dr Stacey Ann Ketchman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477526903NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1367 (Alabama)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. Dr Stacey Ann Ketchman allows following entities to bill medicare on her behalf.
Entity NameHaymount Institute For Psychological Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528239993
PECOS PAC ID: 1153498415
Enrollment ID: O20080929000365

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. Dr Stacey Ann Ketchman 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
Dr Stacey Ann Ketchman, PSYD
2926 Coachway Dr,
Fayetteville, NC 28306-8948

Ph: (240) 277-3604
Dr Stacey Ann Ketchman, PSYD
Womack Army Medical Center,
Fort Bragg, NC 28310-0001

Ph: (910) 907-8198

Reviews and Comments


Psychologist in Fort Bragg, NC

Dr. Lauren Day, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Dr. Christopher Ray Wilson, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310
Phone: 910-907-8922    
Dr. Sandra M Boward, PSY D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Reilly Road Mcxc Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310
Phone: 910-907-6599    Fax: 910-907-6599
Isaac Lopez, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Tomi Stuart Macdonough, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310
Phone: 919-285-6876    
Kellie Byrd, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 910-907-8617    
Raul Gullermo Canchola,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310
Phone: 910-907-6825    

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