Mrs Erica Danielle Ketchum, FNP in Merrillville, IN

Mrs Erica Danielle Ketchum, FNP is a medicare enrolled "Nurse Practitioner - Family" in Merrillville, Indiana. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Care Network Inc and her current practice location is 3903 E Us Highway 30, Merrillville, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 736-0900.

Mrs Erica Danielle Ketchum is licensed to practice in Indiana (license number 71006700A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407308117.

Contact Information

	Mrs Erica Danielle Ketchum, FNP
	3903 E Us Highway 30, Merrillville, IN 46410-5810
	(219) 736-0900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Erica Danielle Ketchum
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	3903 E Us Highway 30, Merrillville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Erica Danielle Ketchum graduated from nursing school in 2016

NPI Data:

NPI Number: 1407308117
Provider Enumeration Date: 10/28/2016
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2769764513
Enrollment ID: I20170131001418

Medical Identifiers

Medical identifiers for Mrs Erica Danielle Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407308117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	28167043A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71006700A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary Medical Center Inc	Hobart, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Care Network Inc	3678737012	346

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 Erica Danielle Ketchum allows following entities to bill medicare on her behalf.

Entity Name	Community Care Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331

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 Erica Danielle Ketchum 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 Erica Danielle Ketchum, FNP 4420 E 61st Ave, Hobart, IN 46342-6517 Ph: (219) 617-9089	Mrs Erica Danielle Ketchum, FNP 3903 E Us Highway 30, Merrillville, IN 46410-5810 Ph: (219) 736-0900

Reviews and Comments

Nurse Practitioner Nurses in Merrillville, IN

Sherri Lynn Hernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8560 Broadway, Merrillville, IN 46410 Phone: 219-793-9248 Fax: 219-793-9387
Kimberly Dianell Armstrong, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5800 Broadway, Merrillville, IN 46410 Phone: 219-884-9180 Fax: 219-884-9280
Mrs. Darrian Renee Sullivan, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5825 Broadway, Merrillville, IN 46410 Phone: 219-689-3199
Danielle Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Connecticut St, Merrillville, IN 46410 Phone: 219-769-3500
Cindy Chapman, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 W 86th Ave, Merrillville, IN 46410 Phone: 219-791-1555 Fax: 219-791-1560
Christopher Micheal Hatch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-769-6639 Fax: 219-769-0636
Mrs. Kimberly R Sirk, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9120 Connecticut St Ste A, Merrillville, IN 46410 Phone: 219-793-1233 Fax: 219-793-1244

Mrs Erica Danielle Ketchum, FNP - Medicare Nurse Practitioner in Merrillville, IN