Gregory Kettelhake, AUD in Auburn, CA - Medicare Audiologist Provider

Gregory Kettelhake, AUD is a medicare enrolled "Audiologist" provider in Auburn, California. His current practice location is 11990 Heritage Oak Pl Ste 11, Auburn, California. You can reach out to his office (for appointments etc.) via phone at (530) 823-7532.

Gregory Kettelhake is licensed to practice in California (license number 3058) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366824690.

Contact Information

	Gregory Kettelhake, AUD
	11990 Heritage Oak Pl Ste 11, Auburn, CA 95603-2405
	(530) 823-7532
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gregory Kettelhake
Gender	Male
Speciality	Audiologist
Location	11990 Heritage Oak Pl Ste 11, Auburn, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366824690
Provider Enumeration Date: 06/23/2015
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7719290774
Enrollment ID: I20150720002070

Medical Identifiers

Medical identifiers for Gregory Kettelhake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366824690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	3058 (California)	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. Gregory Kettelhake allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Gregory Kettelhake 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
Gregory Kettelhake, AUD 1850 Douglas Blvd Ste 992, Roseville, CA 95661-3639 Ph: () -	Gregory Kettelhake, AUD 11990 Heritage Oak Pl Ste 11, Auburn, CA 95603-2405 Ph: (530) 823-7532

Reviews and Comments

Audiologist in Auburn, CA

Mrs. Brenda Leigh Bardasian, MS, CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 11775 Education St, Suite 102, Auburn, CA 95602 Phone: 530-344-2000 Fax: 530-344-2014
Jessica R Iverson, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11775 Education St Ste 102, Auburn, CA 95602 Phone: 530-823-7532 Fax: 530-823-0316
Christina P Barbao, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11775 Education St Ste 102, Auburn, CA 95602 Phone: 530-823-7532 Fax: 530-823-0316
Janene Bauhofer, M.S. CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11775 Education St Ste 102, Auburn, CA 95602 Phone: 530-823-7532 Fax: 530-823-0316
Mary Lavoie, AUDIOLOGIST/SP.PATH. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1275 High St, Auburn, CA 95603 Phone: 530-885-0228 Fax: 530-885-7237
Placer Speech & Hearing Services Of Auburn, Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11775 Education St Ste 102, Auburn, CA 95602 Phone: 530-823-7532 Fax: 530-823-0316

Gregory Kettelhake, AUD - Medicare Audiologist in Auburn, CA