Mr William Stewart Ketcham, MD in Garner, NC - Medicare Micrographic Dermatologic Surgery (mds)

Mr William Stewart Ketcham, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Garner, North Carolina. He went to West Virginia University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Southern Dermatology Pa and his current practice location is 501 Health Park Dr, Ste 150, Garner, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 772-3487.

Mr William Stewart Ketcham is licensed to practice in North Carolina (license number 29605) 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 1093866006.

Contact Information

	Mr William Stewart Ketcham, MD
	501 Health Park Dr, Ste 150, Garner, NC 27529-7051
	(919) 772-3487
	(919) 772-3446

Map and Direction

Physician's Profile

Full Name	Mr William Stewart Ketcham
Gender	Male
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	40 Years
Location	501 Health Park Dr, Garner, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr William Stewart Ketcham attended and graduated from West Virginia University School Of Medicine in 1984

NPI Data:

NPI Number: 1093866006
Provider Enumeration Date: 01/16/2007
Last Update Date: 10/05/2020

Medicare PECOS Information:

PECOS PAC ID: 7214902139
Enrollment ID: I20040913001042

Medical Identifiers

Medical identifiers for Mr William Stewart Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093866006	NPI	-	NPPES
070014474	Other	NC	RR MEDICARE
30499	Other	NC	PARTNERS
4510902	Other	NC	AETNA
3330875-004	Other	NC	CIGNA
95508	Other	NC	MEDCOST
0273L	Other	NC	BCBS GROUP NUMBER
48795	Other	NC	BCBS IND
562147357	Other	NC	UHC
290649	Other	NC	MAMSI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	29605 (North Carolina)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	29605 (North Carolina)	Primary
174400000X	Specialist	29605 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Dermatology Pa	7012971609	41

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. Mr William Stewart Ketcham allows following entities to bill medicare on his behalf.

Entity Name	Southern Dermatology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568415586 PECOS PAC ID: 7012971609 Enrollment ID: O20041113000271

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. Mr William Stewart 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 Address	Practice Location Address
Mr William Stewart Ketcham, MD 501 Health Park Dr, Ste 150, Garner, NC 27529-7051 Ph: (919) 772-3487	Mr William Stewart Ketcham, MD 501 Health Park Dr, Ste 150, Garner, NC 27529-7051 Ph: (919) 772-3487

Mr William Stewart Ketcham, MD - Medicare Micrographic Dermatologic Surgery (mds) in Garner, NC