Mr Larry David Ketner, DPM in Yorkville, IL - Medicare Podiatrist Provider

Mr Larry David Ketner, DPM is a medicare enrolled "Podiatrist" provider in Yorkville, Illinois. His current practice location is 654 W Veterans Pkwy Ste D, Yorkville, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 553-9300.

Mr Larry David Ketner is licensed to practice in Illinois (license number 016004241) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407955487.

Contact Information

	Mr Larry David Ketner, DPM
	654 W Veterans Pkwy Ste D, Yorkville, IL 60560
	(630) 553-9300
	(630) 553-9306

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Larry David Ketner
Gender	Male
Speciality	Podiatrist
Location	654 W Veterans Pkwy Ste D, Yorkville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407955487
Provider Enumeration Date: 09/22/2006
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0749370229
Enrollment ID: I20071220000475

Medical Identifiers

Medical identifiers for Mr Larry David Ketner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407955487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	016004241 (Illinois)	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. Mr Larry David Ketner allows following entities to bill medicare on his behalf.

Provider Name	Preferred Podiatry Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720037138 PECOS PAC ID: 3971412677 Enrollment ID: O20040413000340

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. Mr Larry David Ketner 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
Mr Larry David Ketner, DPM 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 Ph: (630) 553-9300	Mr Larry David Ketner, DPM 654 W Veterans Pkwy Ste D, Yorkville, IL 60560 Ph: (630) 553-9300

Reviews and Comments

Podiatrist in Yorkville, IL

Tina Starkweather Dpm & Assoc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 54 W Countryside Pkwy, Suite B, Yorkville, IL 60560 Phone: 630-553-4855 Fax: 630-553-4857
Center For Foot And Ankle Surgery Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 654 W Veterans Pkwy Ste D, Yorkville, IL 60560 Phone: 630-553-9300 Fax: 630-553-9306
Advanced Foot And Ankle Surgeons, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 215 Hillcrest Ave, Suite B, Yorkville, IL 60560 Phone: 630-352-3700 Fax: 815-986-6062
Northern Illinois Foot & Ankle Specialists, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 Hillcrest Ave Ste A, Yorkville, IL 60560 Phone: 815-671-4515
Center For Foot And Ankle Surgery Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 654 W Veterans Pkwy Ste C, Yorkville, IL 60560 Phone: 630-553-9300 Fax: 630-553-9306
Thomas Francis Rappette, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 654 W Veterans Parkway, Suite D, Yorkville, IL 60560 Phone: 630-553-9300 Fax: 630-553-9306

Mr Larry David Ketner, DPM - Medicare Podiatrist in Yorkville, IL