John Magnus Ketcher, OD in Tyler, TX - Medicare Optometry Provider

John Magnus Ketcher, OD is a medicare enrolled "Optometrist" provider in Tyler, Texas. He went to Southern College Of Optometry and graduated in 2010 and has 14 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Christus Trinity Clinic and his current practice location is 1424 E Front St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-4144.

John Magnus Ketcher is licensed to practice in Texas (license number 9394) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740594159.

Contact Information

	John Magnus Ketcher, OD
	1424 E Front St, Tyler, TX 75702
	(903) 595-4144
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	John Magnus Ketcher
Gender	Male
Speciality	Optometry
Experience	14 Years
Location	1424 E Front St, Tyler, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Magnus Ketcher attended and graduated from Southern College Of Optometry in 2010

NPI Data:

NPI Number: 1740594159
Provider Enumeration Date: 07/28/2010
Last Update Date: 05/17/2019

Medicare PECOS Information:

PECOS PAC ID: 1759565641
Enrollment ID: I20190211000516

Medical Identifiers

Medical identifiers for John Magnus Ketcher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740594159	NPI	-	NPPES
393764101	Medicaid	TX
P02184376	Other	TX	MEDICARE RAIL ROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2022 (Arizona)	Secondary
152W00000X	Optometrist	0618002629 (Virginia)	Secondary
152W00000X	Optometrist	9394 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1217

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. John Magnus Ketcher allows following entities to bill medicare on his behalf.

Provider Name	Christus Trinity Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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. John Magnus Ketcher 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
John Magnus Ketcher, OD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400	John Magnus Ketcher, OD 1424 E Front St, Tyler, TX 75702 Ph: (903) 595-4144

Reviews and Comments

Optometrist in Tyler, TX

Bryan E Frazier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5791 New Copeland Rd, Tyler, TX 75703 Phone: 903-339-3035 Fax: 903-339-3036
Dr. David Michael Johnson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2756 S Broadway Ave, Tyler, TX 75701 Phone: 903-593-2345 Fax: 903-593-4646
Piney Woods Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Southwest Loop 323, Tyler, TX 75701 Phone: 480-375-8908
Vision Source Of Tyler Optometrist Medicare: Medicare Enrolled Practice Location: 136 Shelley Drive, Tyler, TX 75701 Phone: 903-561-8686 Fax: 903-581-1518
Dr. Andrew Eric Hamilton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4826 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-6995
Dat Ly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7924 S Broadway Ave, Ste 200, Tyler, TX 75703 Phone: 903-617-6864 Fax: 903-504-5758
20/20 Icare Tyler Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4824 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-2020

John Magnus Ketcher, OD - Medicare Optometrist in Tyler, TX