William D Ketcham, MD - Medicare Diagnostic Radiology in Cheyenne, WY

William D Ketcham, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cheyenne, Wyoming. He went to University Of Nevada School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Cheyenne Mri Llc, Cheyenne Radiology Group, Cwip Llc and his current practice location is 800 E 20th St, Suite 110, Cheyenne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 634-7711.

William D Ketcham is licensed to practice in Wyoming (license number 6803A) 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 1184668857.

Contact Information

William D Ketcham, MD
800 E 20th St, Suite 110,
Cheyenne, WY 82001-3859
(307) 634-7711
Not Available



Physician's Profile

Full NameWilliam D Ketcham
GenderMale
SpecialityDiagnostic Radiology
Experience28 Years
Location800 E 20th St, Cheyenne, Wyoming
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:
  • William D Ketcham attended and graduated from University Of Nevada School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1184668857
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6002005808
  • Enrollment ID: I20110110000628

Medical Identifiers

Medical identifiers for William D Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184668857NPI-NPPES
311699OtherWYBCBS OF WYOMING CRG
22971211MedicaidCO
311700OtherWYBCBS OF WYOMING MRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 6803A (Wyoming)Primary
2085R0202XRadiology - Diagnostic Radiology 40972 (Colorado)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cheyenne Regional Medical CenterCheyenne, WYHospital
Wray Community District HospitalWray, COHospital
Melissa Memorial HospitalHolyoke, COHospital
Sedgwick County Memorial HospitalJulesburg, COHospital
Platte County Memorial HospitalWheatland, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cheyenne Mri Llc65077567986
Cheyenne Radiology Group195129384427
Cwip Llc08405887526

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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. William D Ketcham allows following entities to bill medicare on his behalf.
Entity NameCheyenne Mri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689613572
PECOS PAC ID: 6507756798
Enrollment ID: O20040319000673

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Entity NameCheyenne Radiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023056082
PECOS PAC ID: 1951293844
Enrollment ID: O20040607000625

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Entity NameCwip Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154774529
PECOS PAC ID: 0840588752
Enrollment ID: O20161010000699

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Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20170728003323

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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. William D Ketcham 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
William D Ketcham, MD
800 E 20th St, Suite 110,
Cheyenne, WY 82001-3859

Ph: (307) 634-7711
William D Ketcham, MD
800 E 20th St, Suite 110,
Cheyenne, WY 82001-3859

Ph: (307) 634-7711

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Radiology Doctors in Cheyenne, WY

Don R Dickerson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 214 E 23rd St, Cheyenne, WY 82001
Phone: 307-633-7823    Fax: 307-633-7818
James G Hubbard, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 20th St, Suite 110, Cheyenne, WY 82001
Phone: 307-634-7711    
Eric Richard Hoyer, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2003 Bluegrass Circle, Cheyenne, WY 82009
Phone: 307-634-7711    
Subashini T Furman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 310 E 24th St, Cheyenne, WY 82001
Phone: 307-634-9311    Fax: 307-634-5627
Mrs. Sarah Elizabeth Matney, RT (R) (CT)
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 214 E 23rd St, Cheyenne, WY 82001
Phone: 307-634-7800    
Dr. Jeffrey C Carlton, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 214 E 23rd St, Cheyenne, WY 82001
Phone: 307-633-7823    Fax: 307-633-7818

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