Myron Edward Ketter, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Blairsville, Georgia. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
98 Cleveland St Ste C, Blairsville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 994-5360.
Myron Edward Ketter is licensed to practice in Georgia (license number 005368) 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 1306015656.
Healthcare Provider's Profile
| Full Name | Myron Edward Ketter |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 33 Years |
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| Location | 98 Cleveland St Ste C, Blairsville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Myron Edward Ketter graduated from medical school in 1991
NPI Data:
- NPI Number: 1306015656
- Provider Enumeration Date: 02/20/2008
- Last Update Date: 02/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325351281
- Enrollment ID: I20150721001795
Medical Identifiers
Medical identifiers for Myron Edward Ketter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306015656 | NPI | - | NPPES |
| 1306015656 | Medicaid | SC | |
| 1306015656 | Medicaid | GA | |
| 003171972B | Medicaid | GA | |
| 1306015656 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 10957 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW 8551 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 005368 (Georgia) | Primary |
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. Myron Edward Ketter 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 |
|---|
Myron Edward Ketter, LCSW
98 Cleveland St Ste C,
Blairsville, GA 30512-3564
Ph: (706) 994-5360 | Myron Edward Ketter, LCSW
98 Cleveland St Ste C,
Blairsville, GA 30512-3564
Ph: (706) 994-5360 |
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