Ms Martha L Ketteridge, NP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Huntington, New York. 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 | |
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Experience | 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. |
Medical Education and Training:
- Ms Martha L Ketteridge attended and graduated from in
NPI Data:
- NPI Number: 1952488454
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/08/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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