Dr Ethan Errol Emmons, MD in Green Bay, WI - Medicare Pulmonary Disease

Dr Ethan Errol Emmons, MD is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Green Bay, Wisconsin. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1992 and has 32 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Mercy Services Iowa City Inc and his current practice location is 744 S Webster Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-7451.

Dr Ethan Errol Emmons is licensed to practice in Wisconsin (license number 4154-320) 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 1265416325.

Contact Information

	Dr Ethan Errol Emmons, MD
	744 S Webster Ave, Green Bay, WI 54301-3505
	(920) 433-7451
	(920) 433-7453

Map and Direction

Physician's Profile

Full Name	Dr Ethan Errol Emmons
Gender	Male
Speciality	Pulmonary Disease
Experience	32 Years
Location	744 S Webster Ave, Green Bay, Wisconsin
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 Errol Emmons attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1992

NPI Data:

NPI Number: 1265416325
Provider Enumeration Date: 12/02/2005
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7719157049
Enrollment ID: I20161202001161

Medical Identifiers

Medical identifiers for Dr Ethan Errol Emmons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265416325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	M7165 (Texas)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	M7165 (Texas)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	4154-320 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital	Iowa city, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Services Iowa City Inc	2860395688	27

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 Errol Emmons allows following entities to bill medicare on his behalf.

Entity Name	Mercy Services Iowa City Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213206 PECOS PAC ID: 2860395688 Enrollment ID: O20040129000617

Entity Name	Mercy Hospital Iowa City Iowa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124089347 PECOS PAC ID: 2062302748 Enrollment ID: O20040317000382

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 Errol Emmons 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 Errol Emmons, MD 8902 Sonata Ct, Garden Ridge, TX 78266-2151 Ph: (210) 508-5218	Dr Ethan Errol Emmons, MD 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (920) 433-7451

Reviews and Comments

Internal Medicine Doctors in Green Bay, WI

Amritha Chandrahasa Karkera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Yaw D Berko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Lee James Klemens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705
Dr. Kevin L Mortara, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659
William T Witmer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305
Jay Matthew Salmon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100
Dr. Alay Mansurov, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659

Dr Ethan Errol Emmons, MD - Medicare Pulmonary Disease in Green Bay, WI