Haley Ann Ketcham, FNP in Hampton Bays, NY - Medicare Nurse Practitioner

Haley Ann Ketcham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hampton Bays, New York. Her current practice location is 6 Long Ln, Hampton Bays, New York. You can reach out to her office (for appointments etc.) via phone at (631) 566-5217.

Haley Ann Ketcham is licensed to practice in New York (license number F348701) 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 1174280903.

Contact Information

	Haley Ann Ketcham, FNP
	6 Long Ln, Hampton Bays, NY 11946-2641
	(631) 566-5217
	Not Available

Map and Direction

Provider's Profile

Full Name	Haley Ann Ketcham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6 Long Ln, Hampton Bays, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174280903
Provider Enumeration Date: 11/29/2021
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 1456722073
Enrollment ID: I20230118002558

Medical Identifiers

Medical identifiers for Haley Ann Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174280903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F348701 (New York)	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. Haley Ann Ketcham allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051

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. Haley Ann Ketcham 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
Haley Ann Ketcham, FNP 6 Long Ln, Hampton Bays, NY 11946-2641 Ph: (631) 566-5217	Haley Ann Ketcham, FNP 6 Long Ln, Hampton Bays, NY 11946-2641 Ph: (631) 566-5217

Reviews and Comments

Nurse Practitioner Nurses in Hampton Bays, NY

Elizabeth Mary Cramer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 Red Creek Road, Hampton Bays, NY 11946 Phone: 516-662-2246
Taryn Bitzer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 E Montauk Hwy, Hampton Bays, NY 11946 Phone: 631-604-4022
Maureen Elizabeth Stefanidis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 W Montauk Hwy, Hampton Bays, NY 11946 Phone: 631-728-4700
Mrs. Barbara Jeanne Bendowski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 West Montauk Highway, Hampton Bays, NY 11946 Phone: 631-728-4700
Mrs. Maura Jean Jeffrey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Suffolk Rd, Hampton Bays, NY 11946 Phone: 631-728-3865
Shannon Marie Munday, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 W Montauk Hwy, Hampton Bays, NY 11946 Phone: 631-728-4700

Haley Ann Ketcham, FNP - Medicare Nurse Practitioner in Hampton Bays, NY