Jamie L Ketterman, RN, BSN, CDE | |
1602 N 2nd St, Clinton, MO 64735-1192 | |
(660) 885-8171 | |
Not Available |
Full Name | Jamie L Ketterman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1602 N 2nd St, Clinton, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609087402 | NPI | - | NPPES |
357499904 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WD0400X | Registered Nurse - Diabetes Educator | 2000162289 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2014022528 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Golden Valley Memorial Healthcare Home Services | Clinton, MO | Home health agency |
Golden Valley Memorial Hospital | Clinton, MO | Hospital |
St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden Valley Memorial Hospital District | 4688561814 | 85 |
Entity Name | Golden Valley Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299 |
Mailing Address | Practice Location Address |
---|---|
Jamie L Ketterman, RN, BSN, CDE 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-8171 | Jamie L Ketterman, RN, BSN, CDE 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-8171 |
Emily Kathleen Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1602 N 2nd St, Clinton, MO 64735 Phone: 660-885-8171 | |
Mary J Huggins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N 2nd St, Clinton, MO 64735 Phone: 660-885-8171 Fax: 660-885-8496 | |
Cynthia A Moran, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 603 E Gaines Dr, Clinton, MO 64735 Phone: 660-885-8141 Fax: 660-885-5815 | |
Laura Noble, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1602 N 2nd St, Clinton, MO 64735 Phone: 660-885-8171 | |
Anisa Ranay Burdick, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 N 2nd St, Clinton, MO 64735 Phone: 660-885-5511 | |
Sherri L. Fenwick, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Community, Clinton, MO 64735 Phone: 888-403-1071 Fax: 660-885-2393 | |
Mrs. Jamie Leigh Moore, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 603 E Gaines Dr., Clinton, MO 64735 Phone: 660-890-8715 Fax: 660-890-8485 |