Dr Ethan Roy Etnyre, MD - Medicare Family Medicine in Oceano, CA

Dr Ethan Roy Etnyre, MD is a medicare enrolled "Family Medicine" physician in Oceano, California. His current practice location is 2120 Cienaga St, Oceano, California. You can reach out to his office (for appointments etc.) via phone at (805) 994-2100.

Dr Ethan Roy Etnyre is licensed to practice in California (license number G073939) 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 1225021777.

Contact Information

Dr Ethan Roy Etnyre, MD
2120 Cienaga St,
Oceano, CA 93445-9016
(805) 994-2100
(805) 994-2197

Map and Direction




Physician's Profile

Full NameDr Ethan Roy Etnyre
GenderMale
SpecialityFamily Medicine
Location2120 Cienaga St, Oceano, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225021777
  • Provider Enumeration Date: 08/30/2005
  • Last Update Date: 11/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1557559770
  • Enrollment ID: I20110916000270

Medical Identifiers

Medical identifiers for Dr Ethan Roy Etnyre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225021777NPI-NPPES
CB207800OtherCAMEDICARE ID
080142806OtherRAILROAD MEDICARE
00G739390OtherCABLUE SHIELD OF CALIFORNIA
00G739390MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G073939 (California)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. Dr Ethan Roy Etnyre allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Centers Of The Central Coast Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336166248
PECOS PAC ID: 7416868120
Enrollment ID: O20040115001161

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 Roy Etnyre 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
Dr Ethan Roy Etnyre, MD
2050 S Blosser Rd,
Santa Maria, CA 93458-7310

Ph: (805) 361-8028
Dr Ethan Roy Etnyre, MD
2120 Cienaga St,
Oceano, CA 93445-9016

Ph: (805) 994-2100

Reviews and Comments


Family Medicine Doctors in Oceano, CA

Dr. Karen S Mikuni, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2120 Cienaga St, Oceano, CA 93445
Phone: 805-994-2100    Fax: 805-994-2197

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.