Mr Ethan Jacob Wajswol, MD (5/18/2020) - Medicare Urology in Canton, GA

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Mr Ethan Jacob Wajswol, MD (5/18/2020) is a medicare enrolled "Urology" physician in Canton, Georgia. He went to Rutgers New Jersey Medical School and graduated in 2020 and has 5 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mayo Clinic Jacksonville and his current practice location is 470 Northside Cherokee Blvd Ste 201, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 720-7246.

Mr Ethan Jacob Wajswol is licensed to practice in Georgia (license number 99892) 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 1366076945.

Contact Information

Mr Ethan Jacob Wajswol, MD (5/18/2020)
470 Northside Cherokee Blvd Ste 201,
Canton, GA 30115-8029
(770) 720-7246
(770) 720-4620

Map and Direction




Physician's Profile

Full NameMr Ethan Jacob Wajswol
GenderMale
SpecialityUrology
Experience5 Years
Location470 Northside Cherokee Blvd Ste 201, Canton, Georgia
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:
  • Mr Ethan Jacob Wajswol attended and graduated from Rutgers New Jersey Medical School in 2020
  NPI Data:
  • NPI Number: 1366076945
  • Provider Enumeration Date: 02/24/2020
  • Last Update Date: 06/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466875133
  • Enrollment ID: I20240926003827

Medical Identifiers

Medical identifiers for Mr Ethan Jacob Wajswol such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366076945NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 99892 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic FloridaJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Jacksonville56986892971429

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. Mr Ethan Jacob Wajswol allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388

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. Mr Ethan Jacob Wajswol 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
Mr Ethan Jacob Wajswol, MD (5/18/2020)
1930 Brannan Rd,
Mcdonough, GA 30253-4310

Ph: (678) 284-4040		Mr Ethan Jacob Wajswol, MD (5/18/2020)
470 Northside Cherokee Blvd Ste 201,
Canton, GA 30115-8029

Ph: (770) 720-7246

Reviews and Comments


Urology Doctors in Canton, GA

Mr. Vincent Daniel Dicarlo, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115
Phone: 770-720-7246    Fax: 770-720-4620
Wesley Warren Ludwig, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 145 Riverstone Ter Ste 101, Canton, GA 30114
Phone: 770-720-7246    
Carl C Capelouto, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115
Phone: 770-720-7246    Fax: 770-720-4620
Dr. Yasin Bhanji, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115
Phone: 770-720-7246    Fax: 770-720-4620

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.