Dr Betty Jean Ketchmark, PHARMD RP is a
Pharmacist based in Lavista, Nebraska. Dr Betty Jean Ketchmark is licensed to practice in Nebraska (license number 10348) and her current practice location is
8637 S 99 Circle, Lavista, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 639-0965.
NPI number for Dr Betty Jean Ketchmark is 1659080893 and her current mailing address is 8637 S 99 Circle, Lavista, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659080893.
Healthcare Provider's Profile
Full Name | Dr Betty Jean Ketchmark |
---|
Gender | Female |
---|
Speciality | Pharmacist |
---|
Location | 8637 S 99 Circle, Lavista, Nebraska |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659080893
- Provider Enumeration Date: 11/16/2022
- Last Update Date: 11/16/2022
Medical Identifiers
Medical identifiers for Dr Betty Jean Ketchmark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659080893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | P7739 (Idaho) | Secondary |
183500000X | Pharmacist | 10348 (Nebraska) | Primary |
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. Dr Betty Jean Ketchmark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Betty Jean Ketchmark, PHARMD RP 8637 S 99 Circle, Lavista, NE 68128-7010 Ph: (402) 639-0965 | Dr Betty Jean Ketchmark, PHARMD RP 8637 S 99 Circle, Lavista, NE 68128-7010 Ph: (402) 639-0965 |
Reviews and Comments