Jessica Ketterer, PHD in Pembroke Pines, FL - Medicare Clinical Psychologist Provider

Jessica Ketterer, PHD is a medicare enrolled "Psychologist" provider in Pembroke Pines, Florida. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice South Broward Hospital District and her current practice location is 603 N Flamingo Rd, Suite 151, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 265-4325.

Jessica Ketterer is licensed to practice in Florida (license number PY9462) 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 1457717639.

Contact Information

	Jessica Ketterer, PHD
	603 N Flamingo Rd, Suite 151, Pembroke Pines, FL 33028-1023
	(954) 265-4325
	(954) 443-4747

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Ketterer
Gender	Female
Speciality	Clinical Psychologist
Experience	12 Years
Location	603 N Flamingo Rd, Pembroke Pines, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Ketterer graduated from medical school in 2014

NPI Data:

NPI Number: 1457717639
Provider Enumeration Date: 01/04/2016
Last Update Date: 03/19/2021

Medicare PECOS Information:

PECOS PAC ID: 5799083424
Enrollment ID: I20160413002300

Medical Identifiers

Medical identifiers for Jessica Ketterer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457717639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY9462 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital West	Pembroke pines, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Broward Hospital District	8123927373	589

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. Jessica Ketterer allows following entities to bill medicare on her behalf.

Entity Name	South Broward Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609884154 PECOS PAC ID: 8123927373 Enrollment ID: O20040107000217

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. Jessica Ketterer 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
Jessica Ketterer, PHD 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5603	Jessica Ketterer, PHD 603 N Flamingo Rd, Suite 151, Pembroke Pines, FL 33028-1023 Ph: (954) 265-4325

Reviews and Comments

Psychologist in Pembroke Pines, FL

Mathieu Kamburian, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1150 Hibiscus Dr, Pembroke Pines, FL 33025 Phone: 954-967-6300 Fax: 954-967-6346
Dr. Elizabeth Carmen Penela, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15800 Pines Blvd Ste 340, Pembroke Pines, FL 33027 Phone: 954-577-2727
Dr. Annette Blanchard Massey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1601 N Palm Ave, Suite 300, Pembroke Pines, FL 33026 Phone: 954-536-9032
Dr. Venessa Margaret Fegley-villalba, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20540 Nw 8th St, Pembroke Pines, FL 33029 Phone: 954-801-6235
Elena Ugas, M.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1781 Nw 123rd Ave, Pembroke Pines, FL 33026 Phone: 754-423-3111
Dr. Mark Christopher Smith, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 N Hiatus Rd, Suite 213, Pembroke Pines, FL 33026 Phone: 954-431-0411 Fax: 954-431-0413
Dr. Todd Lengnick, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1932 Nw 184th Way, Pembroke Pines, FL 33029 Phone: 813-767-1614

Jessica Ketterer, PHD - Medicare Psychologist in Pembroke Pines, FL