Sedra Jo Ketcham, APRN in South Bend, IN - Medicare Nurse Practitioner

Sedra Jo Ketcham, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in South Bend, Indiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-3050.

Sedra Jo Ketcham is licensed to practice in Indiana (license number 71010526A) 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 1578803045.

Contact Information

	Sedra Jo Ketcham, APRN
	615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601-1033
	(574) 647-3050
	Not Available

Map and Direction

Provider's Profile

Full Name	Sedra Jo Ketcham
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	615 N Michigan St, South Bend, Indiana
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:

Sedra Jo Ketcham graduated from nursing school in 2012

NPI Data:

NPI Number: 1578803045
Provider Enumeration Date: 02/21/2013
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6002054756
Enrollment ID: I20201215000476

Medical Identifiers

Medical identifiers for Sedra Jo Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578803045	NPI	-	NPPES
300044987	Medicaid	IN
7100256130	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	71010526A (Indiana)	Primary
363LA2200X	Nurse Practitioner - Adult Health	2014013264 (Missouri)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	2014013264 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	444

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. Sedra Jo Ketcham allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Sedra Jo Ketcham 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
Sedra Jo Ketcham, APRN 3245 Health Drive, Suite 100, Granger, IN 46530-3245 Ph: (574) 647-1840	Sedra Jo Ketcham, APRN 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601-1033 Ph: (574) 647-3050

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Sedra Jo Ketcham, APRN - Medicare Nurse Practitioner in South Bend, IN