Shauna Marie Ketchum, RPA-C in Brockport, NY - Medicare Physician Assistant

Shauna Marie Ketchum, RPA-C is a medicare enrolled "Physician Assistant - Medical" in Brockport, New York. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Oak Orchard Community Health Center, Inc. and her current practice location is 300 West Ave, Brockport, New York. You can reach out to her office (for appointments etc.) via phone at (585) 637-3905.

Shauna Marie Ketchum is licensed to practice in New York (license number 013457-1) 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 1750617072.

Contact Information

	Shauna Marie Ketchum, RPA-C
	300 West Ave, Brockport, NY 14420-1118
	(585) 637-3905
	(585) 637-4990

Map and Direction

Provider's Profile

Full Name	Shauna Marie Ketchum
Gender	Female
Speciality	Physician Assistant
Experience	15 Years
Location	300 West Ave, Brockport, New York
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:

Shauna Marie Ketchum graduated from nursing school in 2009

NPI Data:

NPI Number: 1750617072
Provider Enumeration Date: 10/21/2009
Last Update Date: 06/14/2024

Medicare PECOS Information:

PECOS PAC ID: 9830374529
Enrollment ID: I20110422000102

Medical Identifiers

Medical identifiers for Shauna Marie Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750617072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	013457-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rochester General Hospital	Rochester, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oak Orchard Community Health Center, Inc.	5496746927	34

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. Shauna Marie 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 Address	Practice Location Address
Shauna Marie Ketchum, RPA-C 300 West Ave, Brockport, NY 14420-1118 Ph: (585) 637-3905	Shauna Marie Ketchum, RPA-C 300 West Ave, Brockport, NY 14420-1118 Ph: (585) 637-3905

Reviews and Comments

Physician Assistant Nurses in Brockport, NY

Emma L Leatham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 156 West Ave, Brockport, NY 14420 Phone: 585-758-7557 Fax: 525-637-5626
Kelly Jean Halvonik, RPAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Interlakes Oncology & Hematology Pc, 156 West Ave., Brockport, NY 14420 Phone: 585-395-0124 Fax: 585-395-0127
Josiah James Surbatovich, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 170 West Ave, Brockport, NY 14420 Phone: 585-395-6052 Fax: 585-395-6007
Catherine Goetz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 West Ave, Brockport, NY 14420 Phone: 585-637-3905 Fax: 585-637-4990
Catherine M. Benjamin, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 156 West Ave Fl 3, Brockport, NY 14420 Phone: 585-276-7874
Theofanis Kalathas, M.D. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 156 West Ave Fl 2, Brockport, NY 14420 Phone: 585-758-7557 Fax: 585-637-5626
Mrs. Jacqueline Ann Kent, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4079 Lake Rd N, Brockport, NY 14420 Phone: 585-637-0151 Fax: 585-637-0562

Shauna Marie Ketchum, RPA-C - Medicare Physician Assistant in Brockport, NY