Dr Marjorie Ketzak, DO - Medicare Family Medicine in Oxford, NY

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Dr Marjorie Ketzak, DO is a medicare enrolled "Family Medicine" physician in Oxford, New York. Her current practice location is 4207 State Highway 220, Oxford, New York. You can reach out to her office (for appointments etc.) via phone at (607) 843-3140.

Dr Marjorie Ketzak is licensed to practice in New York (license number 2200SG) 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 1780684159.

Contact Information

Dr Marjorie Ketzak, DO
4207 State Highway 220,
Oxford, NY 13830-4305
(607) 843-3140
(607) 843-3162

Map and Direction




Physician's Profile

Full NameDr Marjorie Ketzak
GenderFemale
SpecialityFamily Medicine
Location4207 State Highway 220, Oxford, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780684159
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 11/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1355404062
  • Enrollment ID: I20090107000085

Medical Identifiers

Medical identifiers for Dr Marjorie Ketzak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780684159NPI-NPPES
02154465MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2200SG (New York)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 Marjorie Ketzak allows following entities to bill medicare on her behalf.
Entity NameState Of New York Comptrollers Office
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386851004
PECOS PAC ID: 0840101770
Enrollment ID: O20040623001353

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 Marjorie Ketzak 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
Dr Marjorie Ketzak, DO
4207 State Highway 220,
Oxford, NY 13830-4305

Ph: (607) 843-3140		Dr Marjorie Ketzak, DO
4207 State Highway 220,
Oxford, NY 13830-4305

Ph: (607) 843-3140

Reviews and Comments


Family Medicine Doctors in Oxford, NY

Margaret Durrance Davis, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4211 State Highway 220, Oxford, NY 13830
Phone: 607-843-3101    

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.