Michael C Ketcham, DO - Medicare Obstetrics/gynecology in Jonesboro, AR

Michael C Ketcham, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Jonesboro, Arkansas. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1997 and has 27 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Northeast Arkansas Clinic Charitable Foundation, Inc. and his current practice location is 4802 E Johnson Ave, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 936-8000.

Michael C Ketcham is licensed to practice in Arkansas (license number E-10891) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912910191.

Contact Information

Michael C Ketcham, DO
4802 E Johnson Ave,
Jonesboro, AR 72401
(870) 936-8000
(870) 934-3631

Map and Direction




Physician's Profile

Full NameMichael C Ketcham
GenderMale
SpecialityObstetrics/gynecology
Experience27 Years
Location4802 E Johnson Ave, Jonesboro, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael C Ketcham attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1997
  NPI Data:
  • NPI Number: 1912910191
  • Provider Enumeration Date: 08/15/2006
  • Last Update Date: 09/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3476736919
  • Enrollment ID: I20171127002300

Medical Identifiers

Medical identifiers for Michael C Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912910191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 0102202980 (Virginia)Secondary
207V00000XObstetrics & Gynecology 222973 (New York)Secondary
207V00000XObstetrics & Gynecology E-10891 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Arkansas Clinic Charitable Foundation, Inc.2961547526247

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. Michael C Ketcham allows following entities to bill medicare on his behalf.
Entity NameNortheast Arkansas Clinic Charitable Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861721839
PECOS PAC ID: 2961547526
Enrollment ID: O20100315000190

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. Michael C Ketcham 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
Michael C Ketcham, DO
Po Box 1960,
Jonesboro, AR 72403-1960

Ph: (870) 936-8000
Michael C Ketcham, DO
4802 E Johnson Ave,
Jonesboro, AR 72401

Ph: (870) 936-8000

Reviews and Comments


Obstetrics & Gynecology Doctors in Jonesboro, AR

Ms. Sonia R Joseph, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 225 E Jackson Ave, Mailslot #83, Jonesboro, AR 72401
Phone: 870-207-1630    Fax: 870-207-6581
Mark Stripling, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401
Phone: 870-936-8000    Fax: 870-934-3631
John T St. Clair Jr.,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 800 S Church St, Suite 302, Jonesboro, AR 72401
Phone: 870-935-3990    Fax: 870-935-0871
Dr. Steven R Lewis, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401
Phone: 870-207-1630    Fax: 870-207-6581
Dr. Charles Cesare Jr., MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4802 E. Johnson Ave, Jonesboro, AR 72401
Phone: 870-936-8454    Fax: 870-934-3631
Lewis Bradley Fields, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 800 S Church St, Suite 302, Jonesboro, AR 72401
Phone: 870-935-3990    Fax: 870-935-0871
Charles Dunn, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401
Phone: 870-936-8000    Fax: 870-934-3631

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.