Dr Scott A Ketaineck, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Salem, Oregon. His current practice location is
2600 Center St Ne, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 947-2863.
Dr Scott A Ketaineck is licensed to practice in Oregon (license number 2373) 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 1366639536.
Healthcare Provider's Profile
Full Name | Dr Scott A Ketaineck |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2600 Center St Ne, Salem, Oregon |
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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: 1366639536
- Provider Enumeration Date: 10/01/2007
- Last Update Date: 08/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 6901025683
- Enrollment ID: I20140910002413
Medical Identifiers
Medical identifiers for Dr Scott A Ketaineck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366639536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 2373 (Oregon) | 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. Dr Scott A Ketaineck allows following entities to bill medicare on his behalf.
Entity Name | Dhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508802489 PECOS PAC ID: 0547170383 Enrollment ID: O20040130000453 |
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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. Dr Scott A Ketaineck 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 |
Dr Scott A Ketaineck, PSYD 2600 Center St Ne, Salem, OR 97301-2669 Ph: (503) 947-2863 | Dr Scott A Ketaineck, PSYD 2600 Center St Ne, Salem, OR 97301-2669 Ph: (503) 947-2863 |
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