Judy Hwang Ketcham, RN, FNP in San Diego, CA - Medicare Nurse Practitioner

Judy Hwang Ketcham, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 3131 Berger Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 244-6800.

Judy Hwang Ketcham is licensed to practice in California (license number 95002778) 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 1245615020.

Contact Information

	Judy Hwang Ketcham, RN, FNP
	3131 Berger Ave, San Diego, CA 92123-4233
	(858) 244-6800
	Not Available

Map and Direction

Provider's Profile

Full Name	Judy Hwang Ketcham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3131 Berger Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245615020
Provider Enumeration Date: 07/22/2015
Last Update Date: 03/28/2019

Medicare PECOS Information:

PECOS PAC ID: 4486962206
Enrollment ID: I20230816000068

Medical Identifiers

Medical identifiers for Judy Hwang Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245615020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95002778 (California)	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. Judy Hwang Ketcham allows following entities to bill medicare on her behalf.

Entity Name	Carolina Vein Institute Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609121615 PECOS PAC ID: 1557517489 Enrollment ID: O20120809000160

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. Judy Hwang 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
Judy Hwang Ketcham, RN, FNP 3131 Berger Ave, San Diego, CA 92123-4233 Ph: (352) 359-2682	Judy Hwang Ketcham, RN, FNP 3131 Berger Ave, San Diego, CA 92123-4233 Ph: (858) 244-6800

Reviews and Comments

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Judy Hwang Ketcham, RN, FNP - Medicare Nurse Practitioner in San Diego, CA