Ethan Brudno, LPC in Medford, NJ - Medicare Counselor Provider

Ethan Brudno, LPC is a medicare enrolled "Counselor - Professional" provider in Medford, New Jersey. His current practice location is 103 Old Marlton Pike Ste 101, Medford, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 314-1807.

Ethan Brudno is licensed to practice in New Jersey (license number 37PC01099500) 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 1346054228.

Contact Information

	Ethan Brudno, LPC
	103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772
	(609) 314-1807
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Brudno
Gender	Male
Speciality	Counselor - Professional
Location	103 Old Marlton Pike Ste 101, Medford, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346054228
Provider Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025

Medicare PECOS Information:

PECOS PAC ID: 9638693914
Enrollment ID: I20250408002118

Medical Identifiers

Medical identifiers for Ethan Brudno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346054228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	37PC01099500 (New Jersey)	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. Ethan Brudno allows following entities to bill medicare on his behalf.

Entity Name	Peaceful Practices Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457978017 PECOS PAC ID: 5698114650 Enrollment ID: O20240424000007

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. Ethan Brudno 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
Ethan Brudno, LPC 1021 Route 70 W Apt A, Cherry Hill, NJ 08002-3530 Ph: () -	Ethan Brudno, LPC 103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772 Ph: (609) 314-1807

Reviews and Comments

Counselor in Medford, NJ

Erica Lynn Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Union St, Medford, NJ 08055 Phone: 609-654-9860
Ms. Karen Ann Brook, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 121 W Centennial Dr, Medford, NJ 08055 Phone: 856-596-6444 Fax: 856-797-8512
Miss Christine Elizabeth Hniedziejko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Union Street, Medford Meadows Group Home, Medford, NJ 08055 Phone: 609-654-9860
Ms. Amanda Whitney Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Route 70, Ste 12, Medford, NJ 08055 Phone: 609-953-6800
Kristen Kohler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 S Main St, Medford, NJ 08055 Phone: 856-617-4544
Julia Mannino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 N Main St, Medford, NJ 08055 Phone: 856-714-8400
Molly Knox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Stokes Rd Ste B8, Medford, NJ 08055 Phone: 609-365-7834

Ethan Brudno, LPC - Medicare Counselor in Medford, NJ