Dr Richard T Kettelkamp, DO - Medicare Cardiovascular Disease (cardiology) in Cedar Rapids, IA

Dr Richard T Kettelkamp, DO is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Cedar Rapids, Iowa. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1988 and has 36 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice St Lukes Methodist Hospital and his current practice location is 202 10th St Se, Suite 225, Cedar Rapids, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 364-7101.

Dr Richard T Kettelkamp is licensed to practice in Iowa (license number 3618) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922042894.

Contact Information

Dr Richard T Kettelkamp, DO
202 10th St Se, Suite 225,
Cedar Rapids, IA 52403-2404
(319) 364-7101
Not Available



Physician's Profile

Full NameDr Richard T Kettelkamp
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience36 Years
Location202 10th St Se, Cedar Rapids, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Richard T Kettelkamp attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1988
  NPI Data:
  • NPI Number: 1922042894
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 11/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0749290674
  • Enrollment ID: I20060421000387

Medical Identifiers

Medical identifiers for Dr Richard T Kettelkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922042894NPI-NPPES
1922042894MedicaidIA
P00823157OtherIARR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 3618 (Iowa)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 3618 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes HospitalCedar rapids, IAHospital
Jones Regional Medical CenterAnamosa, IAHospital
Regional Medical CenterManchester, IAHospital
Buchanan County Health CenterIndependence, IAHospital
Virginia Gay HospitalVinton, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Methodist Hospital660878675166

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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 Richard T Kettelkamp allows following entities to bill medicare on his behalf.
Entity NameThe Finley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073560462
PECOS PAC ID: 5092622944
Enrollment ID: O20040122001079

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Entity NameSt Lukes Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073553939
PECOS PAC ID: 6608786751
Enrollment ID: O20040204000942

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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 Richard T Kettelkamp 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 Richard T Kettelkamp, DO
202 10th St Se, Suite 225,
Cedar Rapids, IA 52403-2404

Ph: (319) 364-7101
Dr Richard T Kettelkamp, DO
202 10th St Se, Suite 225,
Cedar Rapids, IA 52403-2404

Ph: (319) 364-7101

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Internal Medicine Doctors in Cedar Rapids, IA

Chirantan Ghosh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1951 51st St Ne, Cedar Rapids, IA 52402
Phone: 319-294-1899    Fax: 319-294-1773
Leon L Qiao, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 931 8th Ave Se, Cedar Rapids, IA 52401
Phone: 319-366-8695    Fax: 319-366-0795
Boothapuri Venkatesh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 202 10th St Se, Suite 225, Cedar Rapids, IA 52403
Phone: 319-364-7101    Fax: 319-363-1993
Harinder Singh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 202 10th St Se, Cedar Rapids, IA 52403
Phone: 319-398-1546    
Hisham Wagdy, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 202 10th St Se, Suite 225, Cedar Rapids, IA 52403
Phone: 319-364-7101    Fax: 319-363-1993
Deborah W Wilbur, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 10th St Se, Hpcc 3rd Floor, Cedar Rapids, IA 52403
Phone: 319-363-8303    Fax: 319-364-4659
Dr. Wei Li, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 543 7th St Se, Cedar Rapids, IA 52401
Phone: 319-861-7600    

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