Dr David Aloysius Ketelaar, MD - Medicare Emergency Medicine in Santa Maria, CA

Dr David Aloysius Ketelaar, MD is a medicare enrolled "Emergency Medicine" physician in Santa Maria, California. His current practice location is 1400 E Church St, Santa Maria, California. You can reach out to his office (for appointments etc.) via phone at (805) 739-3200.

Dr David Aloysius Ketelaar is licensed to practice in California (license number G77236) 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 1073543542.

Contact Information

Dr David Aloysius Ketelaar, MD
1400 E Church St,
Santa Maria, CA 93454-5906
(805) 739-3200
(805) 739-3064



Physician's Profile

Full NameDr David Aloysius Ketelaar
GenderMale
SpecialityEmergency Medicine
Location1400 E Church St, Santa Maria, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073543542
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 09/09/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4486610284
  • Enrollment ID: I20041203000339

Medical Identifiers

Medical identifiers for Dr David Aloysius Ketelaar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073543542NPI-NPPES
00G772360MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine G77236 (California)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 David Aloysius Ketelaar allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458

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Entity NameMmc Emergency Physicians Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285670406
PECOS PAC ID: 7911809215
Enrollment ID: O20040927001225

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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. Dr David Aloysius Ketelaar 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
Dr David Aloysius Ketelaar, MD
4401 W Memorial Road, Suite 121,
Oklahoma City, OK 73134-1722

Ph: (405) 751-4664
Dr David Aloysius Ketelaar, MD
1400 E Church St,
Santa Maria, CA 93454-5906

Ph: (805) 739-3200

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› Verified 3 days ago


Emergency Medicine Doctors in Santa Maria, CA

Simon Boughey, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2330 Westbury Way, Santa Maria, CA 93455
Phone: 805-937-1863    Fax: 805-937-4994
Dr. Debra Lynn Weinstein, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1400 E Church St, Santa Maria, CA 93454
Phone: 805-739-3200    Fax: 805-739-3064
Mellissa Sydney, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Church St, Santa Maria, CA 93454
Phone: 855-993-5209    
Dr. Gregory Scott Simmons, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1400 E Church St, Santa Maria, CA 93454
Phone: 805-739-3114    
Carsten Zieger, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2271 S Depot St, Santa Maria, CA 93455
Phone: 805-922-0561    
Guy Richard Bennallack Jr., DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Church St Bldg 8, Santa Maria, CA 93454
Phone: 805-739-3561    

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