Nicole Susan Ketterman, MD in San Carlos, CA

Nicole Susan Ketterman, MD is a medicare enrolled "Pediatrics" physician in San Carlos, California. Her current practice location is 301 Industrial Rd, San Carlos, California. You can reach out to her office (for appointments etc.) via phone at (650) 596-4000.

Nicole Susan Ketterman is licensed to practice in California (license number A105499) 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 1194977249.

Contact Information

	Nicole Susan Ketterman, MD
	301 Industrial Rd, San Carlos, CA 94070-2603
	(650) 596-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Susan Ketterman
Gender	Female
Speciality	Pediatrics
Location	301 Industrial Rd, San Carlos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194977249
Provider Enumeration Date: 10/21/2008
Last Update Date: 05/28/2020

Medicare PECOS Information:

PECOS PAC ID: 8224222476
Enrollment ID: I20101101001284

Medical Identifiers

Medical identifiers for Nicole Susan Ketterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194977249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A105499 (California)	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. Nicole Susan Ketterman allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Nicole Susan Ketterman 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
Nicole Susan Ketterman, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 596-4000	Nicole Susan Ketterman, MD 301 Industrial Rd, San Carlos, CA 94070-2603 Ph: (650) 596-4000

Reviews and Comments

Pediatrics Doctors in San Carlos, CA

Naveen Mahmood, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4000
Dr. Lauren Kutzscher Thompson, MD, MS Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4000
Neel Dipak Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4100
Dr. Aimee Leigh Harris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, Level 1, San Carlos, CA 94070 Phone: 650-596-4000 Fax: 650-551-7042
Dr. Payal Karsan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4000
Dr. Aaron Michael Nayfack, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-523-3960

Nicole Susan Ketterman, MD - Medicare Pediatrics in San Carlos, CA