Melanie Ketchmark, - Medicare Physical Therapist in Forest Park, IL

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Melanie Ketchmark, is a medicare enrolled "Physical Therapist" provider in Forest Park, Illinois. Her current practice location is 8200 Roosevelt Rd, Forest Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 850-4889.

Melanie Ketchmark is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285365940.

Contact Information

Melanie Ketchmark,
8200 Roosevelt Rd,
Forest Park, IL 60130-2528
(708) 850-4889
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMelanie Ketchmark
GenderFemale
SpecialityPhysical Therapist
Location8200 Roosevelt Rd, Forest Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285365940
  • Provider Enumeration Date: 06/22/2022
  • Last Update Date: 06/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355726084
  • Enrollment ID: I20220916001735

Medical Identifiers

Medical identifiers for Melanie Ketchmark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285365940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))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. Melanie Ketchmark allows following entities to bill medicare on her behalf.
Provider NameRenewal Rehab Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033460555
PECOS PAC ID: 2062725237
Enrollment ID: O20150716001778
Provider NameIllinois Home Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1114506102
PECOS PAC ID: 5799178968
Enrollment ID: O20220210002153

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. Melanie Ketchmark 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
Melanie Ketchmark,
3114 Raymond Ave,
Brookfield, IL 60513-1246

Ph: (619) 777-3758		Melanie Ketchmark,
8200 Roosevelt Rd,
Forest Park, IL 60130-2528

Ph: (708) 850-4889

Reviews and Comments


Physical Therapist in Forest Park, IL

Susan Pachter,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7251 Madison St, Forest Park, IL 60130
Phone: 708-383-5795    
Dr. Natalie Hoff, PT, DPT, CERT-MDT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 842 Lathrop Ave, Forest Park, IL 60130
Phone: 847-504-6561    
Amy Van Santen, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 215 Rockford Ave, Forest Park, IL 60130
Phone: 708-488-8744    Fax: 708-488-8744
Elizabeth Ritzenthaler,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7251 Madison St, Forest Park, IL 60130
Phone: 708-383-5795    
David Rivera,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 800 Desplaines Ave, Forest Park, IL 60130
Phone: 708-366-2442    
Jennifer Marie Theisen, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 800 Des Plaines Ave, Forest Park, IL 60130
Phone: 708-366-2442    Fax: 708-366-0179

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.