Mrs Rachel Ann Longawa Ketter, PA-C in Kenosha, WI

Mrs Rachel Ann Longawa Ketter, PA-C is a medicare enrolled "Physician Assistant" in Kenosha, Wisconsin. Her current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 942-5828.

Mrs Rachel Ann Longawa Ketter is licensed to practice in Wisconsin (license number 3133-23) 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 1760822845.

Contact Information

	Mrs Rachel Ann Longawa Ketter, PA-C
	10400 75th St, Kenosha, WI 53142-7884
	(262) 942-5828
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Rachel Ann Longawa Ketter
Gender	Female
Speciality	Physician Assistant
Location	10400 75th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760822845
Provider Enumeration Date: 07/03/2013
Last Update Date: 06/26/2020

Medicare PECOS Information:

PECOS PAC ID: 2062647290
Enrollment ID: I20170811001642

Medical Identifiers

Medical identifiers for Mrs Rachel Ann Longawa Ketter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760822845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	3133-23 (Wisconsin)	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. Mrs Rachel Ann Longawa Ketter 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 Rachel Ann Longawa Ketter, PA-C 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2233	Mrs Rachel Ann Longawa Ketter, PA-C 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 942-5828

Reviews and Comments

Physician Assistant Nurses in Kenosha, WI

David B Kite, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000
William T Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142 Phone: 262-945-7557 Fax: 262-727-0841
Miss Sarah Rens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3590 Fax: 262-656-3591
Ms. Amber D Devine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Jeffrey Allen Greene, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6770
Michelle R Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 505, Kenosha, WI 53143 Phone: 262-656-3525 Fax: 262-656-3560
Nadya M Modlin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10400 75th St, Emergency Department, Kenosha, WI 53142 Phone: 262-948-7000

Mrs Rachel Ann Longawa Ketter, PA-C - Medicare Physician Assistant in Kenosha, WI