Grace Prosperi Ketcham, PSYD in Hanover, NH - Medicare Psychologist Provider

Grace Prosperi Ketcham, PSYD is a medicare enrolled "Psychologist" provider in Hanover, New Hampshire. Her current practice location is 2 Buck Rd Ste J, Hanover, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 865-1321.

Grace Prosperi Ketcham is licensed to practice in New Hampshire (license number 6876) 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 1912643339.

Contact Information

	Grace Prosperi Ketcham, PSYD
	2 Buck Rd Ste J, Hanover, NH 03755-2715
	(603) 865-1321
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Grace Prosperi Ketcham
Gender	Female
Speciality	Psychologist
Location	2 Buck Rd Ste J, Hanover, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912643339
Provider Enumeration Date: 05/09/2022
Last Update Date: 05/05/2025

Medicare PECOS Information:

PECOS PAC ID: 4587183074
Enrollment ID: I20250528002022

Medical Identifiers

Medical identifiers for Grace Prosperi Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912643339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6876 (New Hampshire)	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. Grace Prosperi Ketcham allows following entities to bill medicare on her behalf.

Entity Name	Counseling Associates Of New London Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205055365 PECOS PAC ID: 0042369910 Enrollment ID: O20090526000101

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. Grace Prosperi Ketcham 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
Grace Prosperi Ketcham, PSYD 5402 Route 113, Thetford Center, VT 05075-8915 Ph: (636) 368-6492	Grace Prosperi Ketcham, PSYD 2 Buck Rd Ste J, Hanover, NH 03755-2715 Ph: (603) 865-1321

Reviews and Comments

Psychologist in Hanover, NH

Dr. Frank Vansanten, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45 Lyme Rd Ste 300, Hanover, NH 03755 Phone: 603-755-6535
Dr. Bruce L. Levine, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 53 S Main St, Suite 302, Hanover, NH 03755 Phone: 603-676-7711 Fax: 603-676-7711
Dr. Stephen T Cole, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 43 Lebanon St Fl 2, Hanover, NH 03755 Phone: 802-359-2089
Dr. William John Hudenko, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23 S Main St Ste 2b, Hanover, NH 03755 Phone: 603-277-9110
Dr. Thomas B. Gamble, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41 Lebanon St, Hanover, NH 03755 Phone: 802-785-2903 Fax: 802-785-2631
Michael Sun, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11 Fletcher Cir, Hanover, NH 03755 Phone: 657-229-0484
Mark Hiatt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7 Rope Ferry Rd, Dartmouth College Health Services, Hanover, NH 03755 Phone: 603-646-9442

Grace Prosperi Ketcham, PSYD - Medicare Psychologist in Hanover, NH