Dr Ethan Emmet Bodle, MD, MPH in Oakland, CA - Medicare Emergency Medicine

Dr Ethan Emmet Bodle, MD, MPH is a medicare enrolled "Emergency Medicine" physician in Oakland, California. He went to Columbia University College Of Physicians And Surgeons and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 280 W Macarthur Blvd, Department Of Emergency Medicine, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 752-7515.

Dr Ethan Emmet Bodle is licensed to practice in California (license number A100979) 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 1033392584.

Contact Information

	Dr Ethan Emmet Bodle, MD, MPH
	280 W Macarthur Blvd, Department Of Emergency Medicine, Oakland, CA 94611-5642
	(510) 752-7515
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ethan Emmet Bodle
Gender	Male
Speciality	Emergency Medicine
Experience	19 Years
Location	280 W Macarthur Blvd, Oakland, California
Accepts Medicare Assignments	Yes. 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 Ethan Emmet Bodle attended and graduated from Columbia University College Of Physicians And Surgeons in 2005

NPI Data:

NPI Number: 1033392584
Provider Enumeration Date: 12/06/2007
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 9234297243
Enrollment ID: I20081021000069

Medical Identifiers

Medical identifiers for Dr Ethan Emmet Bodle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033392584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A100979 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Oakland/richmond	Oakland, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	7800

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 Ethan Emmet Bodle allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Ethan Emmet Bodle 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 Address	Practice Location Address
Dr Ethan Emmet Bodle, MD, MPH 280 W Macarthur Blvd, Department Of Emergency Medicine, Oakland, CA 94611-5642 Ph: (510) 752-7515	Dr Ethan Emmet Bodle, MD, MPH 280 W Macarthur Blvd, Department Of Emergency Medicine, Oakland, CA 94611-5642 Ph: (510) 752-7515

Reviews and Comments

Emergency Medicine Doctors in Oakland, CA

Daniel Mantuani, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1506 4th Ave Apt 5, Apt 5, Oakland, CA 94606 Phone: 504-390-5474
Jennifer I. Harris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Benjamin J. Bonnes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Richard J. Knight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Michael S. Gelfond, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Dr. Kayla Enriquez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4564
Dr. Emily Meilan Sze, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-869-2500

Dr Ethan Emmet Bodle, MD, MPH - Medicare Emergency Medicine in Oakland, CA