Ethan Prince, in Edina, MN - Medicare Diagnostic Radiology

Ethan Prince, is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Edina, Minnesota. He graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Midstate Radiology Associates Llc and his current practice location is 3600 Minnesota Dr Ste 800, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1100.

Ethan Prince is licensed to practice in Rhode Island (license number 12864) 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 1306064563.

Contact Information

	Ethan Prince,
	3600 Minnesota Dr Ste 800, Edina, MN 55435-7915
	(952) 595-1100
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Prince
Gender	Male
Speciality	Diagnostic Radiology
Experience	26 Years
Location	3600 Minnesota Dr Ste 800, Edina, Minnesota
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:

Ethan Prince graduated from medical school in 2000

NPI Data:

NPI Number: 1306064563
Provider Enumeration Date: 04/23/2007
Last Update Date: 03/04/2026

Medicare PECOS Information:

PECOS PAC ID: 0749332237
Enrollment ID: I20220916002345

Medical Identifiers

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

Identifier	Type	State	Issuer
1306064563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD12864 (Rhode Island)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	12864 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midstate Radiology Associates Llc	4880593565	81

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 Prince allows following entities to bill medicare on his behalf.

Entity Name	Midstate Radiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578518999 PECOS PAC ID: 4880593565 Enrollment ID: O20031231000543

Entity Name	Diagnostic Imaging Services Of Ct Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093760431 PECOS PAC ID: 3577465111 Enrollment ID: O20040123000288

Entity Name	Meriden Imaging Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508812561 PECOS PAC ID: 4385683556 Enrollment ID: O20050427000621

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 Prince 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 Prince, 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (952) 595-1100	Ethan Prince, 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (952) 595-1100

Reviews and Comments

Radiology Doctors in Edina, MN

Christopher Calixte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 Fax: 612-294-4903
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Rati Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Robert L Edwards, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100
Stephen George Fox, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 Fax: 612-294-4903

Ethan Prince, - Medicare Diagnostic Radiology in Edina, MN