Dr James Edward Ethington, MD is a
Dermatology physician based in Greenfield, Wisconsin. Dr James Edward Ethington is licensed to practice in Wisconsin (license number 22197-020) and his current practice location is 2923 W Layton Ave, Greenfield, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 281-0712.
NPI number for Dr James Edward Ethington is 1770546053 and his current mailing address is 2923 W Layton Ave, Greenfield, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770546053.
Physician's Profile
| Full Name | Dr James Edward Ethington |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 2923 W Layton Ave, Greenfield, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770546053
- Provider Enumeration Date: 04/08/2006
- Last Update Date: 04/18/2011
Medical Identifiers
Medical identifiers for Dr James Edward Ethington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770546053 | NPI | - | NPPES |
| 30257400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 22197-020 (Wisconsin) | Primary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 22197-020 (Wisconsin) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 22197-020 (Wisconsin) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 22197-020 (Wisconsin) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 22197-020 (Wisconsin) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 22197-020 (Wisconsin) | Secondary |
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 James Edward Ethington is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr James Edward Ethington, MD
2923 W Layton Ave,
Greenfield, WI 53221-2626
Ph: (414) 281-0712 | Dr James Edward Ethington, MD
2923 W Layton Ave,
Greenfield, WI 53221-2626
Ph: (414) 281-0712 |
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