Ethan Ray Freeborn, MD - Medicare Emergency Medicine in Pearisburg, VA

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Ethan Ray Freeborn, MD is a medicare enrolled "Emergency Medicine" physician in Pearisburg, Virginia. His current practice location is 159 Hartley Way, Pearisburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 921-6000.

Ethan Ray Freeborn is licensed to practice in Virginia (license number 0101241319) 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 1336338656.

Contact Information

Ethan Ray Freeborn, MD
159 Hartley Way,
Pearisburg, VA 24134-2471
(540) 921-6000
Not Available

Map and Direction




Physician's Profile

Full NameEthan Ray Freeborn
GenderMale
SpecialityEmergency Medicine
Location159 Hartley Way, Pearisburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336338656
  • Provider Enumeration Date: 10/23/2007
  • Last Update Date: 01/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688754757
  • Enrollment ID: I20071231000574

Medical Identifiers

Medical identifiers for Ethan Ray Freeborn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336338656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0101241319 (Virginia)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 Ray Freeborn allows following entities to bill medicare on his behalf.
Entity NameCarilion Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447206370
PECOS PAC ID: 5890607253
Enrollment ID: O20031106000273
Entity NameCarilion Emergency Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255602694
PECOS PAC ID: 7012820889
Enrollment ID: O20031107000339
Entity NameCarilion Rockbridge Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174636021
PECOS PAC ID: 4789658261
Enrollment ID: O20040820000838
Entity NameCarilion Giles Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194718304
PECOS PAC ID: 3678670221
Enrollment ID: O20070516000487
Entity NameCarilion Medical Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1649423815
PECOS PAC ID: 9830096585
Enrollment ID: O20090320000373
Entity NameLake Spring Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215429600
PECOS PAC ID: 6406103498
Enrollment ID: O20180723001173

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 Ray Freeborn 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 Ray Freeborn, MD
213 S Jefferson St Ste 1006,
Roanoke, VA 24011-1713

Ph: (540) 224-5353		Ethan Ray Freeborn, MD
159 Hartley Way,
Pearisburg, VA 24134-2471

Ph: (540) 921-6000

Reviews and Comments


Emergency Medicine Doctors in Pearisburg, VA

Howard P Sathre, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Taylor Ave, Emergency Dept., Pearisburg, VA 24134
Phone: 540-921-6000    Fax: 540-921-6084
Dr. Christopher Gary Cline, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 159 Hartley Way, Pearisburg, VA 24134
Phone: 540-921-6000    Fax: 540-921-5233
Dr. James Robert Smith, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6 Taylor Ave., Pearisburg, VA 24134
Phone: 540-921-6033    
Dr. Clay Woodrow Tingle, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 159 Hartley Way, Pearisburg, VA 24134
Phone: 540-921-6000    Fax: 540-921-5233
Michael Lee Bailey Jr., DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 159 Hartley Way, Pearisburg, VA 24134
Phone: 540-921-6000    Fax: 540-921-5233
Dr. Mark William Mossey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 159 Hartley Way, Pearisburg, VA 24134
Phone: 540-921-6000    Fax: 540-921-5233

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.