Mrs Anne Montgomery Ketcham, FNP-BC in Homewood, AL

Mrs Anne Montgomery Ketcham, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Homewood, Alabama. Her current practice location is 504 Brookwood Blvd, Homewood, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 462-2241.

Mrs Anne Montgomery Ketcham is licensed to practice in Alabama (license number 1-127785) 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 1093189276.

Contact Information

	Mrs Anne Montgomery Ketcham, FNP-BC
	504 Brookwood Blvd, Homewood, AL 35209-6802
	(334) 462-2241
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Anne Montgomery Ketcham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	504 Brookwood Blvd, Homewood, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093189276
Provider Enumeration Date: 11/25/2015
Last Update Date: 02/11/2016

Medicare PECOS Information:

PECOS PAC ID: 6709180565
Enrollment ID: I20160215002595

Medical Identifiers

Medical identifiers for Mrs Anne Montgomery Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093189276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-127785 (Alabama)	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. Mrs Anne Montgomery Ketcham allows following entities to bill medicare on her behalf.

Entity Name	Allervie Health, Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780629535 PECOS PAC ID: 1254358310 Enrollment ID: O20051027000853

Entity Name	Childrens Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124541438 PECOS PAC ID: 9234405408 Enrollment ID: O20171017000804

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. Mrs Anne Montgomery 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
Mrs Anne Montgomery Ketcham, FNP-BC 504 Brookwood Blvd, Birmingham, AL 35209-6802 Ph: (205) 871-9661	Mrs Anne Montgomery Ketcham, FNP-BC 504 Brookwood Blvd, Homewood, AL 35209-6802 Ph: (334) 462-2241

Reviews and Comments

Nurse Practitioner Nurses in Homewood, AL

Taylor Patterson Holsombeck, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1651 Independence Ct Ste 211, Homewood, AL 35209 Phone: 205-580-1500 Fax: 205-844-3399
Dawn Marie Coston, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 W Lakeshore Dr, Homewood, AL 35209 Phone: 205-226-5900 Fax: 205-226-5937
Alison Hayes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1920 Huntington Rd, Homewood, AL 35209 Phone: 205-871-7332
Mrs. Unteria Denise Davis, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Saulter Rd, Homewood, AL 35209 Phone: 615-830-8221
Mrs. Teresa Lynn Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 W Lakeshore Dr, Homewood, AL 35209 Phone: 205-226-5900 Fax: 205-226-5937
Mrs. Martha Lynn S Mcpherson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3106 Independence Dr, Homewood, AL 35209 Phone: 205-871-7007

Mrs Anne Montgomery Ketcham, FNP-BC - Medicare Nurse Practitioner in Homewood, AL