Ms Elizabeth Pressly Kettyle, CNM is a medicare enrolled "Advanced Practice Midwife" in East Boston, Massachusetts. Her current practice location is
10 Gove Street, East Boston Neighborhood Health Center, East Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 569-5800.
Ms Elizabeth Pressly Kettyle is licensed to practice in Massachusetts (license number RN240561) 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 1780735613.
Provider's Profile
| Full Name | Ms Elizabeth Pressly Kettyle |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 10 Gove Street, East Boston, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780735613
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 05/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 4183717788
- Enrollment ID: I20170525002309
Medical Identifiers
Medical identifiers for Ms Elizabeth Pressly Kettyle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780735613 | NPI | - | NPPES |
| 0340570 | Medicaid | MA | |
| 1910257-001 | Other | MA | CIGNA |
| CN0240 | Other | MA | BCBS |
| 5715344 | Other | MA | HCVM |
| HV0044 | Other | MA | HPHC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | RN240561 (Massachusetts) | 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. Ms Elizabeth Pressly Kettyle allows following entities to bill medicare on her behalf.
| Entity Name | Affinity Physicians Llc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053 |
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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. Ms Elizabeth Pressly Kettyle 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 |
|---|
Ms Elizabeth Pressly Kettyle, CNM
10 Gove Street, East Boston Neighborhood Health Center,
East Boston, MA 02128
Ph: (617) 569-5800 | Ms Elizabeth Pressly Kettyle, CNM
10 Gove Street, East Boston Neighborhood Health Center,
East Boston, MA 02128
Ph: (617) 569-5800 |
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