Eric M Ketcham, MD | |
801 W Maple St, Farmington, NM 87401-5630 | |
(505) 609-2000 | |
(505) 609-2259 |
Full Name | Eric M Ketcham |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 25 Years |
Location | 801 W Maple St, Farmington, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134193352 | NPI | - | NPPES |
72982781 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD2004-0044 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presbyterian Espanola Hospital | Espanola, NM | Hospital |
Presbyterian Santa Fe Medical Center | Santa fe, NM | Hospital |
Los Alamos Medical Center | Los alamos, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | San Juan Regional Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
Entity Name | Los Alamos Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679965883 PECOS PAC ID: 1557680105 Enrollment ID: O20150501001381 |
Entity Name | Hospitalist Medicine Physicians Of New Mexico - Clovis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477031094 PECOS PAC ID: 0345618849 Enrollment ID: O20221114002666 |
Mailing Address | Practice Location Address |
---|---|
Eric M Ketcham, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Eric M Ketcham, MD 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2000 |
Brad J Campbell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2001 Fax: 505-609-2259 | |
Christopher A Gutierrez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Angela Bell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Catherine A Ambrose, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Dr. Brian A. Rike, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2258 | |
Dr. Virginia Elizabeth Harvey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 |