Dr Jennifer P Ketchel, DDS is a
Dentist - Pediatric Dentistry based in Arlongton, Texas. Dr Jennifer P Ketchel is licensed to practice in Texas (license number 20274) and her current practice location is
7410 S. Cooper Street, Suite 100, Arlongton, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 465-0044.
NPI number for Dr Jennifer P Ketchel is 1174689319 and her current mailing address is 7410 S. Cooper Street, Suite 100, Arlongton, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174689319.
Healthcare Provider's Profile
| Full Name | Dr Jennifer P Ketchel |
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| Gender | Female |
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| Speciality | Dentist - Pediatric Dentistry |
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| Location | 7410 S. Cooper Street, Arlongton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174689319
- Provider Enumeration Date: 12/30/2006
- Last Update Date: 07/16/2013
Medical Identifiers
Medical identifiers for Dr Jennifer P Ketchel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174689319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 20274 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 019.026689 (Illinois) | Secondary |
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 Jennifer P Ketchel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer P Ketchel, DDS
7410 S. Cooper Street, Suite 100,
Arlongton, TX 76001
Ph: (817) 465-0044 | Dr Jennifer P Ketchel, DDS
7410 S. Cooper Street, Suite 100,
Arlongton, TX 76001
Ph: (817) 465-0044 |
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