Ms Martha L Ketteridge, NP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Huntington, New York. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
210 E Main St, Ste 5, Huntington, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 864-1795.
Ms Martha L Ketteridge is licensed to practice in New York (license number F400635) 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 1952488454.
Provider's Profile
| Full Name | Ms Martha L Ketteridge |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 23 Years |
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| Location | 210 E Main St, Huntington, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Martha L Ketteridge graduated from nursing school in 2001
NPI Data:
- NPI Number: 1952488454
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830299874
- Enrollment ID: I20070817000637
Medical Identifiers
Medical identifiers for Ms Martha L Ketteridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952488454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | F400635 (New York) | Primary |
| 363L00000X | Nurse Practitioner | F400635 (Florida) | Secondary |
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 Martha L Ketteridge 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 Martha L Ketteridge, NP
210 E Main St, Ste 5,
Huntington, NY 11743-2979
Ph: (631) 864-1795 | Ms Martha L Ketteridge, NP
210 E Main St, Ste 5,
Huntington, NY 11743-2979
Ph: (631) 864-1795 |
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