Leroy Ketner Iii, - Medicare Nurse Practitioner in West Reading, PA

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Leroy Ketner Iii, is a medicare enrolled "Nurse Practitioner" in West Reading, Pennsylvania. His current practice location is 420 S 5th Ave, West Reading, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 628-5455.

Leroy Ketner Iii is licensed to practice in Pennsylvania (license number SP028098) 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 1811679665.

Contact Information

Leroy Ketner Iii,
420 S 5th Ave,
West Reading, PA 19611-2143
(484) 628-5455
Not Available

Map and Direction




Provider's Profile

Full NameLeroy Ketner Iii
GenderMale
SpecialityNurse Practitioner
Location420 S 5th Ave, West Reading, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811679665
  • Provider Enumeration Date: 08/02/2023
  • Last Update Date: 10/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557716388
  • Enrollment ID: I20231013000477

Medical Identifiers

Medical identifiers for Leroy Ketner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811679665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP028098 (Pennsylvania)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. Leroy Ketner Iii allows following entities to bill medicare on his behalf.
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072
Entity NamePhoenixville Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891866182
PECOS PAC ID: 5799796850
Enrollment ID: O20060606000128
Entity NamePottstown Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649341934
PECOS PAC ID: 6406857184
Enrollment ID: O20070123000573

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. Leroy Ketner Iii 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 AddressPractice Location Address
Leroy Ketner Iii,
Po Box 13579,
Reading, PA 19612-3579

Ph: (484) 628-1324		Leroy Ketner Iii,
420 S 5th Ave,
West Reading, PA 19611-2143

Ph: (484) 628-5455

Reviews and Comments


Nurse Practitioner Nurses in West Reading, PA

Alyssa Shepler, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8000    
Jessica Phillips, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-9797    Fax: 484-628-4076
Mrs. Gloria Jean Hutzell, CRFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 655 Walnut St, West Reading, PA 19611
Phone: 619-372-9222    Fax: 610-372-0232
Chelsea Bissell, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8000    
Maria Steuer Phillips, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-9386    
Naomi Owusu Acheampong,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave, West Reading, PA 19611
Phone: 484-628-4656    
Ruth Schrack, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-5455    Fax: 484-628-5772

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.