Mr Ernest Arthur Ketelhut, MS LLP in Southgate, MI

Mr Ernest Arthur Ketelhut, MS LLP is a medicare enrolled "Psychologist - Clinical" provider in Southgate, Michigan. His current practice location is 19291 Northline Rd, Southgate, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 287-1500.

Mr Ernest Arthur Ketelhut is licensed to practice in Michigan (license number 6301006642) 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 1083829857.

Contact Information

	Mr Ernest Arthur Ketelhut, MS LLP
	19291 Northline Rd, Southgate, MI 48195-2220
	(734) 287-1500
	(734) 287-1660

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ernest Arthur Ketelhut
Gender	Male
Speciality	Psychologist - Clinical
Location	19291 Northline Rd, Southgate, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083829857
Provider Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6901148923
Enrollment ID: I20190423001749

Medical Identifiers

Medical identifiers for Mr Ernest Arthur Ketelhut such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083829857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301006642 (Michigan)	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 Ernest Arthur Ketelhut allows following entities to bill medicare on his behalf.

Entity Name	Weber And Devers Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861609505 PECOS PAC ID: 3870575624 Enrollment ID: O20040604000243

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 Ernest Arthur Ketelhut 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 Ernest Arthur Ketelhut, MS LLP 19291 Northline Rd, Southgate, MI 48195-2220 Ph: (734) 287-1500	Mr Ernest Arthur Ketelhut, MS LLP 19291 Northline Rd, Southgate, MI 48195-2220 Ph: (734) 287-1500

Reviews and Comments

Psychologist in Southgate, MI

Ms. Laura L. Huot, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7704 Fax: 734-287-4192
Mrs. Toni Renee Pruss, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19401 Northline Rd, Southgate, MI 48195 Phone: 734-785-7718
Rebecca Rouse, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700
Vernetta Perrin Black, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7705
Jakob Daniel Williams, M.S. LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Heritage Dr Ste 520, Southgate, MI 48195 Phone: 734-215-9800
Sara Heitman Guetzkow, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19401 Northline Rd, Southgate, MI 48195 Phone: 734-785-7718 Fax: 734-287-8221

Mr Ernest Arthur Ketelhut, MS LLP - Medicare Psychologist in Southgate, MI