Jeffrey Judge Ketzle, ACNP in Plano, TX - Medicare Nurse Practitioner

Jeffrey Judge Ketzle, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Plano, Texas. His current practice location is 4708 Alliance Blvd, Suite 475, Plano, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 964-8500.

Jeffrey Judge Ketzle is licensed to practice in Texas (license number 709638) 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 1972691004.

Contact Information

	Jeffrey Judge Ketzle, ACNP
	4708 Alliance Blvd, Suite 475, Plano, TX 75093-5340
	(972) 964-8500
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeffrey Judge Ketzle
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	4708 Alliance Blvd, Plano, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972691004
Provider Enumeration Date: 10/11/2006
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 9739125998
Enrollment ID: I20050628001409

Medical Identifiers

Medical identifiers for Jeffrey Judge Ketzle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972691004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	709638 (Texas)	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. Jeffrey Judge Ketzle allows following entities to bill medicare on his behalf.

Entity Name	Dallas Medical Specialists, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508217811 PECOS PAC ID: 3072895788 Enrollment ID: O20170112001818

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. Jeffrey Judge Ketzle 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
Jeffrey Judge Ketzle, ACNP 4537 Eldorado Dr, Plano, TX 75093-5406 Ph: (972) 867-0129	Jeffrey Judge Ketzle, ACNP 4708 Alliance Blvd, Suite 475, Plano, TX 75093-5340 Ph: (972) 964-8500

Reviews and Comments

Nurse Practitioner Nurses in Plano, TX

Wendy Renee Foster, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd, Suite 1450, Plano, TX 75093 Phone: 469-800-4540 Fax: 469-800-4541
Mrs. Cristina James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Harkness Dr, Plano, TX 75093 Phone: 214-674-0626
Melissa Coltman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 500, Plano, TX 75093 Phone: 972-941-3100 Fax: 844-292-1461
Mrs. Caroline Kesterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4708 Alliance Blvd Ste 550, Plano, TX 75093 Phone: 469-800-6140
Mrs. Margie Carol Crews, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St, Suite 180, Plano, TX 75093 Phone: 972-867-5300 Fax: 972-867-5301
Saeed Niyati, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Coit Rd, Suite 206, Plano, TX 75075 Phone: 972-612-4999
Ms. Tonya Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Plano, TX 75093 Phone: 214-522-4640

Jeffrey Judge Ketzle, ACNP - Medicare Nurse Practitioner in Plano, TX