Dr Jan E Ketterling, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Breckenridge, Minnesota. Her current practice location is
2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 643-0499.
Dr Jan E Ketterling is licensed to practice in Minnesota (license number MN LP 4296) 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 1063542371.
Healthcare Provider's Profile
| Full Name | Dr Jan E Ketterling |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2400 St Francis Drive, Breckenridge, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jan E Ketterling attended and graduated from in
NPI Data:
- NPI Number: 1063542371
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jan E Ketterling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063542371 | NPI | - | NPPES |
| 056M4KE | Other | | BHSI |
| 11882 | Other | | NDMA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | MN LP 4296 (Minnesota) | 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 Jan E Ketterling 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 |
|---|
Dr Jan E Ketterling, PSYD
17975 79th St Se,
Wahpeton, ND 58075
Ph: (701) 642-6655 | Dr Jan E Ketterling, PSYD
2400 St Francis Drive, Hope Unit St Francis Medical Center,
Breckenridge, MN 56520
Ph: (218) 643-0499 |
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