Raymond Benjamin Ketting, MD | |
2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | |
(573) 785-7721 | |
Not Available |
Full Name | Raymond Benjamin Ketting |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2620 N Westwood Blvd, Poplar Bluff, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881631620 | NPI | - | NPPES |
PENDING | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2006000396 (Missouri) | Primary |
Entity Name | Poplar Bluff Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679822647 PECOS PAC ID: 0648424614 Enrollment ID: O20130129000611 |
Entity Name | Ies Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336849249 PECOS PAC ID: 1254798416 Enrollment ID: O20230601002637 |
Entity Name | Missouri Hb Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922868462 PECOS PAC ID: 2668813197 Enrollment ID: O20240514004087 |
Mailing Address | Practice Location Address |
---|---|
Raymond Benjamin Ketting, MD 157 Terrace Trl, Poplar Bluff, MO 63901-8400 Ph: () - | Raymond Benjamin Ketting, MD 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 Ph: (573) 785-7721 |
Edward Patrick Kreulen, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Laurence Dow Hutchinson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721 | |
Christopher R Pinderski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 217 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-686-6001 | |
Charles S. Krin, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721 | |
Kenneth Charles Studyvin, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2620 North Westwood, Poplar Bluff, MO 63901 Phone: 573-727-2567 Fax: 573-727-2379 | |
Dr. Richard Eugene Draper, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 |