Neal Ketchum, - Medicare Nurse Anesthetist, Certified Registered in Fairfield, CA

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Neal Ketchum, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfield, California. His current practice location is 101 Bodin Cir, Fairfield, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3490.

Neal Ketchum is licensed to practice in California (license number 95001818) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225770670.

Contact Information

Neal Ketchum,
101 Bodin Cir,
Fairfield, CA 94535-1809
(707) 423-3490
Not Available

Map and Direction




Provider's Profile

Full NameNeal Ketchum
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location101 Bodin Cir, Fairfield, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225770670
  • Provider Enumeration Date: 04/07/2022
  • Last Update Date: 08/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355793845
  • Enrollment ID: I20240119003788

Medical Identifiers

Medical identifiers for Neal Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225770670NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 826887 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered 95001818 (California)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. Neal Ketchum allows following entities to bill medicare on his behalf.
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameCounty Of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameUniversity Anesthesia Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528137296
PECOS PAC ID: 2769370535
Enrollment ID: O20040304001219
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742

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. Neal 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 AddressPractice Location Address
Neal Ketchum,
101 Bodin Cir,
Fairfield, CA 94535-1809

Ph: (707) 423-3450		Neal Ketchum,
101 Bodin Cir,
Fairfield, CA 94535-1809

Ph: (707) 423-3490

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fairfield, CA

Jean-marc Jojo Ndame, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2473 Hancock Dr, Fairfield, CA 94533
Phone: 720-937-1705    
Janice Shannon-cain, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Anesthesia Dept, Fairfield, CA 94535
Phone: 510-517-4123    
Diane Leslie Layman, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Circle Travis Afb, Fairfield, CA 94535
Phone: 707-423-7948    
Tina Isaac, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Fairfield, CA 94535
Phone: 707-673-3594    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.