Anastasia K Ketko, MD - Medicare Pediatrics in Maple Grove, MN

Anastasia K Ketko, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Maple Grove, Minnesota. Her current practice location is 9325 Upland Lane N, Suite 360, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 813-6475.

Anastasia K Ketko is licensed to practice in Minnesota (license number 57795) 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 1548434772.

Contact Information

Anastasia K Ketko, MD
9325 Upland Lane N, Suite 360,
Maple Grove, MN 55369
(612) 813-6475
Not Available



Physician's Profile

Full NameAnastasia K Ketko
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location9325 Upland Lane N, Maple Grove, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548434772
  • Provider Enumeration Date: 04/18/2008
  • Last Update Date: 01/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6901119643
  • Enrollment ID: I20150723008215

Medical Identifiers

Medical identifiers for Anastasia K Ketko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548434772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 4301097959 (Michigan)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 57795 (Minnesota)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. Anastasia K Ketko allows following entities to bill medicare on her behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229

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Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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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. Anastasia K Ketko 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 AddressPractice Location Address
Anastasia K Ketko, MD
9325 Upland Lane N, Suite 360,
Maple Grove, MN 55369

Ph: (612) 813-6475
Anastasia K Ketko, MD
9325 Upland Lane N, Suite 360,
Maple Grove, MN 55369

Ph: (612) 813-6475

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Pediatrics Doctors in Maple Grove, MN

Laura Woodbeck Moustafa,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369
Phone: 763-559-2861    
Dr. Susan K. Mahle, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369
Phone: 763-559-2861    Fax: 763-559-1338
Pamela Jean Niksich, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369
Phone: 763-559-2861    Fax: 763-559-1338
Gretchen A Voge, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369
Phone: 888-455-2229    
Aaron Wendell Swenson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369
Phone: 612-322-6903    
Jeanne D Mrozek, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369
Phone: 612-813-6475    
Dr. Rebecca A Doege, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369
Phone: 414-266-2000    

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