Ethan Shamus Lafferty, DDS in Bluefield, WV

Ethan Shamus Lafferty, DDS is a medicare enrolled "Dentist" provider in Bluefield, West Virginia. His current practice location is 1321 Stadium Dr, Bluefield, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 327-7135.

Ethan Shamus Lafferty is licensed to practice in West Virginia (license number 4224) 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 1285087494.

Contact Information

	Ethan Shamus Lafferty, DDS
	1321 Stadium Dr, Bluefield, WV 24701-3318
	(304) 327-7135
	(304) 327-0758

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Shamus Lafferty
Gender	Male
Speciality	Dentist
Location	1321 Stadium Dr, Bluefield, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285087494
Provider Enumeration Date: 07/22/2016
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4587062500
Enrollment ID: I20211006000134

Medical Identifiers

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

Identifier	Type	State	Issuer
1285087494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	4224 (West Virginia)	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 Shamus Lafferty allows following entities to bill medicare on his behalf.

Entity Name	Rainelle Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528417946 PECOS PAC ID: 7416861810 Enrollment ID: O20170327001135

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 Shamus Lafferty 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 Shamus Lafferty, DDS 1321 Stadium Dr, Bluefield, WV 24701-3318 Ph: (304) 327-7135	Ethan Shamus Lafferty, DDS 1321 Stadium Dr, Bluefield, WV 24701-3318 Ph: (304) 327-7135

Reviews and Comments

Dentist in Bluefield, WV

Mary Kay Doersch, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1607 Maryland Ave, Bluefield, WV 24701 Phone: 304-324-8703 Fax: 304-324-8735
Sean Owen Lawson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 North St, Bluefield, WV 24701 Phone: 304-327-8177 Fax: 304-324-4225
Robert Randall Stevens, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 116 North St, 2324 Fairfield Ave, Bluefield, WV 24701 Phone: 304-325-7186 Fax: 304-325-7186
Miss Kimberly Kay Waller-brown, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1609 Maryland Ave, Bluefield, WV 24701 Phone: 304-327-5506 Fax: 304-324-8703
Dr. Jack H Schwarz Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2010 Bland Rd, Bluefield, WV 24701 Phone: 304-325-2155 Fax: 304-325-2165
Dr. Gary R. Lawson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 North St, Bluefield, WV 24701 Phone: 304-327-8177 Fax: 304-324-4225

Ethan Shamus Lafferty, DDS - Medicare Dentist in Bluefield, WV