Dr Stacey Ann Ketchman, PSYD in Fort Bragg, NC - Medicare Psychologist Provider

Dr Stacey Ann Ketchman, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Bragg, North Carolina. Her current practice location is Womack Army Medical Center, Fort Bragg, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 907-8198.

Dr Stacey Ann Ketchman is licensed to practice in Alabama (license number 1367) 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 1477526903.

Contact Information

	Dr Stacey Ann Ketchman, PSYD
	Womack Army Medical Center, Fort Bragg, NC 28310-0001
	(910) 907-8198
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stacey Ann Ketchman
Gender	Female
Speciality	Psychologist - Clinical
Location	Womack Army Medical Center, Fort Bragg, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477526903
Provider Enumeration Date: 02/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1658567466
Enrollment ID: I20101118001175

Medical Identifiers

Medical identifiers for Dr Stacey Ann Ketchman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477526903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1367 (Alabama)	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. Dr Stacey Ann Ketchman allows following entities to bill medicare on her behalf.

Entity Name	Haymount Institute For Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528239993 PECOS PAC ID: 1153498415 Enrollment ID: O20080929000365

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 Stacey Ann Ketchman 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 Stacey Ann Ketchman, PSYD 2926 Coachway Dr, Fayetteville, NC 28306-8948 Ph: (240) 277-3604	Dr Stacey Ann Ketchman, PSYD Womack Army Medical Center, Fort Bragg, NC 28310-0001 Ph: (910) 907-8198

Reviews and Comments

Psychologist in Fort Bragg, NC

Dr. Lauren Day, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069
Dr. Christopher Ray Wilson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922
Dr. Sandra M Boward, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road Mcxc Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-6599 Fax: 910-907-6599
Isaac Lopez, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069
Tomi Stuart Macdonough, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 919-285-6876
Kellie Byrd, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-907-8617
Raul Gullermo Canchola, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310 Phone: 910-907-6825

Dr Stacey Ann Ketchman, PSYD - Medicare Psychologist in Fort Bragg, NC