Jody L Ketcham, RNC is a
Registered Nurse based in Sudbury, Vermont. Jody L Ketcham is licensed to practice in Vermont (license number 026.0031487) and her current practice location is
1643 Fiddle Hill Rd, Sudbury, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 989-1188.
NPI number for Jody L Ketcham is 1457588865 and her current mailing address is 1643 Fiddle Hill Rd, Sudbury, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457588865.
Provider's Profile
Full Name | Jody L Ketcham |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1643 Fiddle Hill Rd, Sudbury, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457588865
- Provider Enumeration Date: 06/12/2009
- Last Update Date: 06/12/2009
Medical Identifiers
Medical identifiers for Jody L Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457588865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 591149-1 (New York) | Secondary |
163W00000X | Registered Nurse | 026.0031487 (Vermont) | Primary |
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. Jody L Ketcham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jody L Ketcham, RNC 1643 Fiddle Hill Rd, Sudbury, VT 05733-9579 Ph: (802) 989-1188 | Jody L Ketcham, RNC 1643 Fiddle Hill Rd, Sudbury, VT 05733-9579 Ph: (802) 989-1188 |
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