William D Ketcham, MD | |
800 E 20th St, Suite 110, Cheyenne, WY 82001-3859 | |
(307) 634-7711 | |
Not Available |
Full Name | William D Ketcham |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 800 E 20th St, Cheyenne, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184668857 | NPI | - | NPPES |
311699 | Other | WY | BCBS OF WYOMING CRG |
22971211 | Medicaid | CO | |
311700 | Other | WY | BCBS OF WYOMING MRI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 6803A (Wyoming) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 40972 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cheyenne Regional Medical Center | Cheyenne, WY | Hospital |
Wray Community District Hospital | Wray, CO | Hospital |
Melissa Memorial Hospital | Holyoke, CO | Hospital |
Sedgwick County Memorial Hospital | Julesburg, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cwip Llc | 0840588752 | 6 |
Cheyenne Radiology Group | 1951293844 | 26 |
Cheyenne Mri Llc | 6507756798 | 6 |
Entity Name | Cheyenne Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689613572 PECOS PAC ID: 6507756798 Enrollment ID: O20040319000673 |
Entity Name | Cheyenne Radiology Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023056082 PECOS PAC ID: 1951293844 Enrollment ID: O20040607000625 |
Entity Name | Cwip Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154774529 PECOS PAC ID: 0840588752 Enrollment ID: O20161010000699 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20170728003323 |
Entity Name | Columbus Radiology Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20240219003046 |
Mailing Address | Practice Location Address |
---|---|
William D Ketcham, MD 800 E 20th St, Suite 110, Cheyenne, WY 82001-3859 Ph: (307) 634-7711 | William D Ketcham, MD 800 E 20th St, Suite 110, Cheyenne, WY 82001-3859 Ph: (307) 634-7711 |
James G Hubbard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E 20th St, Suite 110, Cheyenne, WY 82001 Phone: 307-634-7711 | |
Eric Richard Hoyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2003 Bluegrass Circle, Cheyenne, WY 82009 Phone: 307-634-7711 | |
Subashini T Furman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 310 E 24th St, Cheyenne, WY 82001 Phone: 307-634-9311 Fax: 307-634-5627 | |
Mrs. Sarah Elizabeth Matney, RT (R) (CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-7800 | |
Dr. Jeffrey C Carlton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-633-7823 Fax: 307-633-7818 | |
Dr. Donald Wesley Cain, M.D., M.S. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2003 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-634-7711 |