Susan L Kettler, MSSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hayward, Wisconsin. She graduated from healthcare school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice The Lakes Community Health Center Inc and her current practice location is
10475 State Road 27, Hayward, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 934-3677.
Susan L Kettler is licensed to practice in Wisconsin (license number 7159-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467662890.
Healthcare Provider's Profile
| Full Name | Susan L Kettler |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 10475 State Road 27, Hayward, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Susan L Kettler graduated from medical school in 1998
NPI Data:
- NPI Number: 1467662890
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 02/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 4688858889
- Enrollment ID: I20110413000336
Medical Identifiers
Medical identifiers for Susan L Kettler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467662890 | NPI | - | NPPES |
| 40992100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13070 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7159-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Lakes Community Health Center Inc | 0840366654 | 67 |
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. Susan L Kettler allows following entities to bill medicare on her behalf.
| Entity Name | The Lakes Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811178825
PECOS PAC ID: 0840366654
Enrollment ID: O20101019000186 |
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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. Susan L Kettler 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 |
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Susan L Kettler, MSSW, LCSW
10475 State Road 27, Suite 300,
Hayward, WI 54843-2000
Ph: (715) 934-3677 | Susan L Kettler, MSSW, LCSW
10475 State Road 27,
Hayward, WI 54843-2000
Ph: (715) 934-3677 |
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