Ms Elizabeth Pressly Kettyle, CNM - Medicare Advanced Practice Midwife in East Boston, MA

Ms Elizabeth Pressly Kettyle, CNM is a medicare enrolled "Advanced Practice Midwife" in East Boston, Massachusetts. Her current practice location is 10 Gove Street, East Boston Neighborhood Health Center, East Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 569-5800.

Ms Elizabeth Pressly Kettyle is licensed to practice in Massachusetts (license number RN240561) 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 1780735613.

Contact Information

Ms Elizabeth Pressly Kettyle, CNM
10 Gove Street, East Boston Neighborhood Health Center,
East Boston, MA 02128
(617) 569-5800
(617) 568-4780



Provider's Profile

Full NameMs Elizabeth Pressly Kettyle
GenderFemale
SpecialityAdvanced Practice Midwife
Location10 Gove Street, East Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780735613
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 05/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4183717788
  • Enrollment ID: I20170525002309

Medical Identifiers

Medical identifiers for Ms Elizabeth Pressly Kettyle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780735613NPI-NPPES
0340570MedicaidMA
1910257-001OtherMACIGNA
CN0240OtherMABCBS
5715344OtherMAHCVM
HV0044OtherMAHPHC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife RN240561 (Massachusetts)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. Ms Elizabeth Pressly Kettyle allows following entities to bill medicare on her behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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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. Ms Elizabeth Pressly Kettyle 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
Ms Elizabeth Pressly Kettyle, CNM
10 Gove Street, East Boston Neighborhood Health Center,
East Boston, MA 02128

Ph: (617) 569-5800
Ms Elizabeth Pressly Kettyle, CNM
10 Gove Street, East Boston Neighborhood Health Center,
East Boston, MA 02128

Ph: (617) 569-5800

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Advanced Practice Midwife Nurses in East Boston, MA

Caitlin C Roberts, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 10 Gove St, East Boston, MA 02128
Phone: 617-569-5800    Fax: 617-568-4780

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