Todd Owen Kettering, DO - Medicare Family Medicine in Normal, IL

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Todd Owen Kettering, DO is a medicare enrolled "Family Medicine" physician in Normal, Illinois. His current practice location is 1300 Franklin Avenue, Suite 100, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 268-3761.

Todd Owen Kettering is licensed to practice in Illinois (license number 036.123240) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972619526.

Contact Information

Todd Owen Kettering, DO
1300 Franklin Avenue, Suite 100,
Normal, IL 61761
(309) 268-3761
(309) 268-5620

Map and Direction




Physician's Profile

Full NameTodd Owen Kettering
GenderMale
SpecialityFamily Medicine
Location1300 Franklin Avenue, Suite 100, Normal, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972619526
  • Provider Enumeration Date: 08/23/2006
  • Last Update Date: 08/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678626280
  • Enrollment ID: I20090729000743

Medical Identifiers

Medical identifiers for Todd Owen Kettering such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972619526NPI-NPPES
36123240MedicaidIL
2339713MedicaidOH
036-123240OtherILSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34007709 (Ohio)Secondary
207Q00000XFamily Medicine 036.123240 (Illinois)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. Todd Owen Kettering allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameChestnut Health Systems, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366431686
PECOS PAC ID: 1052393063
Enrollment ID: O20040603000738
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147
Entity NameCarle Bromenn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104442615
PECOS PAC ID: 8921429499
Enrollment ID: O20200716000187

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. Todd Owen Kettering 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
Todd Owen Kettering, DO
1300 Franklin Avenue, Suite 250,
Normal, IL 61761

Ph: (309) 268-2502		Todd Owen Kettering, DO
1300 Franklin Avenue, Suite 100,
Normal, IL 61761

Ph: (309) 268-3761

Reviews and Comments


Family Medicine Doctors in Normal, IL

Dr. Rachel Christine Dalal, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Franklin Ave Ste 100, Normal, IL 61761
Phone: 309-268-3761    Fax: 309-268-5620
Ashraf Abdeljaber, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761
Phone: 309-268-3598    
John A. Pollastrini, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave Ste 1100, Normal, IL 61761
Phone: 309-268-2727    Fax: 309-268-6513
George Gerolimatos, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-268-3558    
James Steven Vales, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 109 Veronica Way, Normal, IL 61761
Phone: 309-454-4698    
Susan Rausch,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761
Phone: 309-661-6290    Fax: 309-451-1354
Dr. Unnati Upadhyay, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Franklin Ave, Normal, IL 61761
Phone: 309-268-3598    

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.