Connie Swartz Ketten, MD - Medicare Pediatrics in Newport News, VA

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Connie Swartz Ketten, MD is a medicare enrolled "Pediatrics" physician in Newport News, Virginia. Her current practice location is 680 Oyster Point Rd, Newport News, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 668-4851.

Connie Swartz Ketten is licensed to practice in Virginia (license number 0101237424) 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 1003890005.

Contact Information

Connie Swartz Ketten, MD
680 Oyster Point Rd,
Newport News, VA 23606-4570
(757) 668-4851
Not Available

Map and Direction




Physician's Profile

Full NameConnie Swartz Ketten
GenderFemale
SpecialityPediatrics
Location680 Oyster Point Rd, Newport News, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003890005
  • Provider Enumeration Date: 12/02/2005
  • Last Update Date: 06/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739188624
  • Enrollment ID: I20061202000161

Medical Identifiers

Medical identifiers for Connie Swartz Ketten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003890005NPI-NPPES
CG6353OtherVA0101237424

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101237424 (Virginia)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. Connie Swartz Ketten allows following entities to bill medicare on her behalf.
Entity NameChildrens Specialty Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255354130
PECOS PAC ID: 5890788764
Enrollment ID: O20040406001195
Entity NameChildrens Hospital Of The Kings Daughters Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578954590
PECOS PAC ID: 0941265284
Enrollment ID: O20150623001707

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. Connie Swartz Ketten 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 AddressPractice Location Address
Connie Swartz Ketten, MD
811 Redgate Ave,
Norfolk, VA 23507-1515

Ph: (757) 668-7007		Connie Swartz Ketten, MD
680 Oyster Point Rd,
Newport News, VA 23606-4570

Ph: (757) 668-4851

Reviews and Comments


Pediatrics Doctors in Newport News, VA

Brian K Butcher, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11835 Fishing Point Dr, Ste 207, Newport News, VA 23606
Phone: 757-873-3334    Fax: 757-873-1128
Raymond Amaker, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 J Clyde Morris Blvd, Hampton Roads Neonatology, Newport News, VA 23601
Phone: 757-594-2000    
Richard Raymond Brzeski, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 321 Main St, Newport News, VA 23601
Phone: 757-595-0358    Fax: 757-595-6745
Sherin Amiri, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 11760 Rock Landing Dr, Newport News, VA 23606
Phone: 757-539-0251    Fax: 757-539-8008
Amanda M Hedges, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2 Bernardine Dr, Newport News, VA 23602
Phone: 757-886-6000    
Dr. Dejie John, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 680 Oyster Point Rd Ste 200, Newport News, VA 23606
Phone: 757-668-4851    Fax: 757-668-4847

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.