Ethan Mark Huckabee, DO - Medicare Emergency Medicine in Port Angeles, WA

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Ethan Mark Huckabee, DO is a medicare enrolled "Emergency Medicine" physician in Port Angeles, Washington. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southern Illinois Medical Services Nfp, Statera Health Care Llc and his current practice location is 939 Caroline St, Port Angeles, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 417-7000.

Ethan Mark Huckabee is licensed to practice in Michigan (license number 5101026802) 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 1043705395.

Contact Information

Ethan Mark Huckabee, DO
939 Caroline St,
Port Angeles, WA 98362-3997
(360) 417-7000
(360) 565-9241

Map and Direction




Physician's Profile

Full NameEthan Mark Huckabee
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location939 Caroline St, Port Angeles, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ethan Mark Huckabee graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1043705395
  • Provider Enumeration Date: 06/28/2018
  • Last Update Date: 04/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810244217
  • Enrollment ID: I20221201003062

Medical Identifiers

Medical identifiers for Ethan Mark Huckabee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043705395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036162411 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program 5101024216 (Michigan)Secondary
207P00000XEmergency Medicine 5101026802 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Memorial Hospital Of CarbondaleCarbondale, ILHospital
Crossroads Community HospitalMount vernon, ILHospital
St Joseph Memorial HospitalMurphysboro, ILHospital
Harrisburg Medical CenterHarrisburg, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Medical Services Nfp3678677390254
Statera Health Care Llc024456572924

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 Mark Huckabee allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameStatera Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284

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 Mark Huckabee 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
Ethan Mark Huckabee, DO
Po Box 850,
Port Angeles, WA 98362-0146

Ph: (360) 417-7111		Ethan Mark Huckabee, DO
939 Caroline St,
Port Angeles, WA 98362-3997

Ph: (360) 417-7000

Reviews and Comments


Emergency Medicine Doctors in Port Angeles, WA

Dr. Robert Lynn Lewis, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 224 Scenic View Ln, Port Angeles, WA 98362
Phone: 360-417-5625    
Danielle Holley Whitley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    Fax: 360-452-5772
Dr. Stephen Churchley, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    
Dr. Alexa Ann Yager, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    
Dr. John Whiting Sisson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    Fax: 360-565-9241
Gregory J Harrah, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7724    Fax: 360-452-5772

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.