Kathleen D Etzel, MD is a
Radiology - Diagnostic Radiology physician based in Titusville, Pennsylvania. Kathleen D Etzel is licensed to practice in Pennsylvania (license number MD049657L) and her current practice location is 406 W Oak Street, Titusville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 827-1851.
NPI number for Kathleen D Etzel is 1770531295 and her current mailing address is 7 Acee Drive, Natrona Heights, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770531295.
Physician's Profile
Full Name | Kathleen D Etzel |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 406 W Oak Street, Titusville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770531295
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 10/25/2007
Medical Identifiers
Medical identifiers for Kathleen D Etzel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770531295 | NPI | - | NPPES |
P00143495 | Other | | RR MEDICARE |
0018069510004 | Other | | MA |
0018069510004 | Medicaid | PA | |
141309 | Other | | BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | MD049657L (Pennsylvania) | Primary |
2085B0100X | Radiology - Body Imaging | MD049657L (Pennsylvania) | Secondary |
2085N0904X | Radiology - Nuclear Radiology | MD049657L (Pennsylvania) | Secondary |
2085P0229X | Radiology - Pediatric Radiology | MD049657L (Pennsylvania) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | MD049657L (Pennsylvania) | Secondary |
2085U0001X | Radiology - Diagnostic Ultrasound | MD049657L (Pennsylvania) | 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. Kathleen D Etzel 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 |
Kathleen D Etzel, MD 7 Acee Drive, Natrona Heights, PA 15065 Ph: (800) 223-5544 | Kathleen D Etzel, MD 406 W Oak Street, Titusville, PA 16354 Ph: (814) 827-1851 |
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