Kody S Kettle, in Chantilly, VA - Medicare Chiropractic Provider

Kody S Kettle, is a medicare enrolled "Chiropractor" provider in Chantilly, Virginia. He went to Palmer College Chiropractic - West Sunnyvale and graduated in 2021 and has 3 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Integrated Healthcare Systems Inc and his current practice location is 24805 Pinebrook Rd Ste 314, Chantilly, Virginia. You can reach out to his office (for appointments etc.) via phone at (702) 957-3373.

Kody S Kettle is licensed to practice in Virginia (license number 01045557796) 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 1669129383.

Contact Information

	Kody S Kettle,
	24805 Pinebrook Rd Ste 314, Chantilly, VA 20152-4128
	(702) 957-3373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kody S Kettle
Gender	Male
Speciality	Chiropractic
Experience	3 Years
Location	24805 Pinebrook Rd Ste 314, Chantilly, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kody S Kettle attended and graduated from Palmer College Chiropractic - West Sunnyvale in 2021

NPI Data:

NPI Number: 1669129383
Provider Enumeration Date: 03/02/2022
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1052706983
Enrollment ID: I20220317002708

Medical Identifiers

Medical identifiers for Kody S Kettle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669129383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	01045557796 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrated Healthcare Systems Inc	2466735493	2

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. Kody S Kettle allows following entities to bill medicare on his behalf.

Provider Name	Integrated Healthcare Systems Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437693348 PECOS PAC ID: 2466735493 Enrollment ID: O20170216001585

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. Kody S Kettle 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
Kody S Kettle, 24805 Pinebrook Rd Ste 314, Chantilly, VA 20152-4128 Ph: (703) 957-3373	Kody S Kettle, 24805 Pinebrook Rd Ste 314, Chantilly, VA 20152-4128 Ph: (702) 957-3373

Reviews and Comments

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Dr. Dennis P O'hara, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14290 Sullyfield Cir, Suite 100, Chantilly, VA 20151 Phone: 703-378-0908 Fax: 703-378-0208

Kody S Kettle, - Medicare Chiropractor in Chantilly, VA