Alicia Hagenau Ketchum, ARNP-C - Medicare Nurse Practitioner in Spring Hill, FL

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Alicia Hagenau Ketchum, ARNP-C is a medicare enrolled "Nurse Practitioner - Family" in Spring Hill, Florida. Her current practice location is 120 Medical Blvd, Ste 102, Spring Hill, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 686-0086.

Alicia Hagenau Ketchum is licensed to practice in Florida (license number ARNP9278289) 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 1588080501.

Contact Information

Alicia Hagenau Ketchum, ARNP-C
120 Medical Blvd, Ste 102,
Spring Hill, FL 34609-0220
(352) 686-0086
(352) 684-2081

Map and Direction




Provider's Profile

Full NameAlicia Hagenau Ketchum
GenderFemale
SpecialityNurse Practitioner - Family
Location120 Medical Blvd, Spring Hill, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588080501
  • Provider Enumeration Date: 03/14/2014
  • Last Update Date: 02/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5597982579
  • Enrollment ID: I20140814002515

Medical Identifiers

Medical identifiers for Alicia Hagenau Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588080501NPI-NPPES
016886300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP9278289 (Florida)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. Alicia Hagenau Ketchum allows following entities to bill medicare on her behalf.
Entity NameRoberta Rexroth Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104203892
PECOS PAC ID: 3971824673
Enrollment ID: O20150606000025
Entity NameIntegrity Np Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730636820
PECOS PAC ID: 9830479054
Enrollment ID: O20161206000262
Entity NameTotal Care Plus Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376069948
PECOS PAC ID: 6800132366
Enrollment ID: O20190104001280

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. Alicia Hagenau Ketchum 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
Alicia Hagenau Ketchum, ARNP-C
14690 Spring Hill Dr, Ste 100 Attn:credentialing,
Spring Hill, FL 34609-8102

Ph: (352) 799-0046		Alicia Hagenau Ketchum, ARNP-C
120 Medical Blvd, Ste 102,
Spring Hill, FL 34609-0220

Ph: (352) 686-0086

Reviews and Comments


Nurse Practitioner Nurses in Spring Hill, FL

Keira Randall, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 7105 Mariner Blvd, Spring Hill, FL 34609
Phone: 352-596-1339    
Damaris Perez Castro,
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Ms. Michelle Annette Perez, MSN, ARNP, FNP-C
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Mrs. Heather Spooner, ARNP
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Medicare: Medicare Enrolled
Practice Location: 5350 Spring Hill Dr, Spring Hill, FL 34606
Phone: 352-688-8116    Fax: 352-686-9477
Tiffany Dawn Westbrook, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 225 Mariner, Spring Hill, FL 34609
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Mara Lee Beebe, APRN
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Practice Location: 11063 County Line Rd, Spring Hill, FL 34609
Phone: 352-688-7744    Fax: 352-688-8822
Tina Michelle Mcnaughton, APRN
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Medicare: Medicare Enrolled
Practice Location: 4214 Canongate Ct, Spring Hill, FL 34609
Phone: 352-494-4710    

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.