Rebecca Gayle Ketter, MA, ED S is a
Psychologist based in Lucasville, Ohio. Rebecca Gayle Ketter is licensed to practice in Ohio (license number OHI375410) and her current practice location is
2114 Cockrells Run Rd, Lucasville, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 285-6778.
NPI number for Rebecca Gayle Ketter is 1104225010 and her current mailing address is 2114 Cockrells Run Rd, Lucasville, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104225010.
Healthcare Provider's Profile
Full Name | Rebecca Gayle Ketter |
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Gender | Female |
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Speciality | Psychologist |
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Location | 2114 Cockrells Run Rd, Lucasville, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104225010
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 08/15/2014
Medical Identifiers
Medical identifiers for Rebecca Gayle Ketter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104225010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | OHI375410 (Ohio) | 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. Rebecca Gayle Ketter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rebecca Gayle Ketter, MA, ED S 2114 Cockrells Run Rd, Lucasville, OH 45648-8833 Ph: (740) 285-6778 | Rebecca Gayle Ketter, MA, ED S 2114 Cockrells Run Rd, Lucasville, OH 45648-8833 Ph: (740) 285-6778 |
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