Hannah Ketchum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Warr Acres, Oklahoma. Her current practice location is
5601 Nw 72nd St Ste 112b, Warr Acres, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 719-3324.
Hannah Ketchum is licensed to practice in * (Not Available) (license number ) 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 1467114850.
Healthcare Provider's Profile
Full Name | Hannah Ketchum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5601 Nw 72nd St Ste 112b, Warr Acres, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467114850
- Provider Enumeration Date: 10/12/2021
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800282120
- Enrollment ID: I20220413000347
Medical Identifiers
Medical identifiers for Hannah Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467114850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Hannah Ketchum allows following entities to bill medicare on her behalf.
Entity Name | Hannah Ketchum Lcsw Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790434710 PECOS PAC ID: 6608262928 Enrollment ID: O20220413000410 |
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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. Hannah Ketchum 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 |
Hannah Ketchum, LCSW 5601 Nw 72nd St Ste 112b, Warr Acres, OK 73132-5931 Ph: (405) 719-3324 | Hannah Ketchum, LCSW 5601 Nw 72nd St Ste 112b, Warr Acres, OK 73132-5931 Ph: (405) 719-3324 |
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