Ethan Jeremy Ledbetter, MD in Mt Pleasant, NC

Ethan Jeremy Ledbetter, MD is a medicare enrolled "Family Medicine" physician in Mt Pleasant, North Carolina. His current practice location is 8560 Cook St, Mt Pleasant, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 436-6521.

Ethan Jeremy Ledbetter is licensed to practice in North Carolina (license number 303086) 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 1780265389.

Contact Information

	Ethan Jeremy Ledbetter, MD
	8560 Cook St, Mt Pleasant, NC 28124-7686
	(704) 436-6521
	(704) 436-9505

Map and Direction

Physician's Profile

Full Name	Ethan Jeremy Ledbetter
Gender	Male
Speciality	Family Medicine
Location	8560 Cook St, Mt Pleasant, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780265389
Provider Enumeration Date: 04/16/2021
Last Update Date: 05/21/2021

Medicare PECOS Information:

PECOS PAC ID: 4385046523
Enrollment ID: I20240731004262

Medical Identifiers

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

Identifier	Type	State	Issuer
1780265389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	303086 (North Carolina)	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 Jeremy Ledbetter allows following entities to bill medicare on his behalf.

Entity Name	Mcleod Loris Seacoast Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230

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 Jeremy Ledbetter 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 Jeremy Ledbetter, MD 270 Copperfield Blvd Ne Ste 202, Concord, NC 28025-2441 Ph: (704) 721-2060	Ethan Jeremy Ledbetter, MD 8560 Cook St, Mt Pleasant, NC 28124-7686 Ph: (704) 436-6521

Reviews and Comments

Family Medicine Doctors in Mt Pleasant, NC

Andrew Hnat, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8560 Cook St, Mt Pleasant, NC 28124 Phone: 704-436-6521 Fax: 704-436-9505
Jackson Long, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8560 Cook St, Mt Pleasant, NC 28124 Phone: 704-436-6521 Fax: 704-436-9505
Lolo Dobson, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8560 Cook St, Mt Pleasant, NC 28124 Phone: 704-436-6521

Ethan Jeremy Ledbetter, MD - Medicare Family Medicine in Mt Pleasant, NC