Jeff D Ethridge, MD - Medicare Family Practice in Bulverde, TX

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Jeff D Ethridge, MD is a medicare enrolled "Family Medicine" physician in Bulverde, Texas. He went to University Of Texas Medical School At Houston and graduated in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ess Of Port Lavaca Llc and his current practice location is 805 Kelly Creek Rd, Bulverde, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 980-1805.

Jeff D Ethridge is licensed to practice in Texas (license number L6877) 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 1154318095.

Contact Information

Jeff D Ethridge, MD
805 Kelly Creek Rd,
Bulverde, TX 78163-3035
(830) 980-1805
(830) 438-5662

Map and Direction




Physician's Profile

Full NameJeff D Ethridge
GenderMale
SpecialityFamily Practice
Experience25 Years
Location805 Kelly Creek Rd, Bulverde, Texas
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:
  • Jeff D Ethridge attended and graduated from University Of Texas Medical School At Houston in 2001
  NPI Data:
  • NPI Number: 1154318095
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 08/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961486485
  • Enrollment ID: I20040614001156

Medical Identifiers

Medical identifiers for Jeff D Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154318095NPI-NPPES
167684801MedicaidTX
167686808MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine L6877 (Texas)Primary
207QH0002XFamily Medicine - Hospice And Palliative Medicine L6877 (Texas)Secondary
208M00000XHospitalist L6877 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterPort lavaca, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ess Of Port Lavaca Llc276976600518

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. Jeff D Ethridge allows following entities to bill medicare on his behalf.
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NamePanther Inpatient Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699078568
PECOS PAC ID: 6901080183
Enrollment ID: O20110413000131
Entity NameHni Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366735169
PECOS PAC ID: 6406028810
Enrollment ID: O20111031000750
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameEss Of South Texas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295128247
PECOS PAC ID: 9739491176
Enrollment ID: O20150629000248
Entity NameMedcede Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942670682
PECOS PAC ID: 4981904208
Enrollment ID: O20151118001190
Entity NameEss Of Port Lavaca Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922546936
PECOS PAC ID: 2769766005
Enrollment ID: O20170303001868
Entity NameEss Of Fairfield Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588132856
PECOS PAC ID: 9234475526
Enrollment ID: O20190108000545
Entity NameHcc Of Borger Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134693245
PECOS PAC ID: 4789927492
Enrollment ID: O20190521002315

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. Jeff D Ethridge 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
Jeff D Ethridge, MD
805 Kelly Creek Rd,
Bulverde, TX 78163-3035

Ph: (830) 980-1805		Jeff D Ethridge, MD
805 Kelly Creek Rd,
Bulverde, TX 78163-3035

Ph: (830) 980-1805

Reviews and Comments


Family Medicine Doctors in Bulverde, TX

Mr. Ronald Ayers Holliday Jr., FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1781 E Ammann Rd, Bulverde, TX 78163
Phone: 830-228-4219    Fax: 830-251-4477
Valorie R Robertson, M. D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2795 Bulverde Rd, Bulverde, TX 78163
Phone: 830-980-2435    Fax: 830-980-4915
Mr. Gerardo Alfonso De Sequera, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 524 Singing Oaks Ste 200, Bulverde, TX 78070
Phone: 830-620-9429    Fax: 830-620-9495
Dr. Michael W Mann, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 32665 Us Highway 281 N, Bulverde, TX 78163
Phone: 830-980-9686    Fax: 830-438-3423
Dr. Carlos Eduardo Loya Valencia, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 524 Singing Oaks Ste 311, Bulverde, TX 78070
Phone: 830-214-1688    Fax: 830-212-4513
Dr. Thomas Chris Lang, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 32665 Us Highway 281 N, Suite 208, Bulverde, TX 78163
Phone: 830-980-9686    Fax: 830-438-3423

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.