Stephen Ward Etheredge, MD - Medicare Sports Medicine in Baton Rouge, LA

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Stephen Ward Etheredge, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Baton Rouge, Louisiana. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Professional Emergency Physician Associates, Llc, Baton Rouge Orthopaedic Clinic Llc, Our Lady Of The Lake Physician Group Llc and his current practice location is 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 924-2424.

Stephen Ward Etheredge is licensed to practice in Louisiana (license number MD.205635) 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 1629212972.

Contact Information

Stephen Ward Etheredge, MD
8080 Bluebonnet Blvd Ste 1000,
Baton Rouge, LA 70810-7827
(225) 924-2424
(225) 408-7980

Map and Direction




Physician's Profile

Full NameStephen Ward Etheredge
GenderMale
SpecialitySports Medicine
Experience16 Years
Location8080 Bluebonnet Blvd Ste 1000, Baton Rouge, Louisiana
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:
  • Stephen Ward Etheredge graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1629212972
  • Provider Enumeration Date: 04/29/2009
  • Last Update Date: 08/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204086929
  • Enrollment ID: I20121029000507

Medical Identifiers

Medical identifiers for Stephen Ward Etheredge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629212972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine TRN 13458 (Florida)Secondary
207QS0010XFamily Medicine - Sports Medicine MD.205635 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Womans HospitalBaton rouge, LAHospital
Surgical Specialty Center Of Baton RougeBaton rouge, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Professional Emergency Physician Associates, Llc175931709271
Baton Rouge Orthopaedic Clinic Llc3274446414138
Our Lady Of The Lake Physician Group Llc4587849781579

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. Stephen Ward Etheredge allows following entities to bill medicare on his behalf.
Entity NameBaton Rouge Orthopaedic Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770503690
PECOS PAC ID: 3274446414
Enrollment ID: O20031112000509
Entity NameBaton Rouge Clinic, A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871546911
PECOS PAC ID: 1254317001
Enrollment ID: O20040624000911
Entity NameEunice Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104895689
PECOS PAC ID: 3476507849
Enrollment ID: O20050309000026
Entity NameEmergency Group Of St Landry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164491320
PECOS PAC ID: 0749237212
Enrollment ID: O20050406000828
Entity NameProfessional Emergency Physician Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992758247
PECOS PAC ID: 1759317092
Enrollment ID: O20050708000778
Entity NameSt Mary Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235108499
PECOS PAC ID: 7810926995
Enrollment ID: O20050809000607
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377

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. Stephen Ward Etheredge 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
Stephen Ward Etheredge, MD
8080 Bluebonnet Blvd Ste 1000,
Baton Rouge, LA 70810-7827

Ph: (225) 924-2424		Stephen Ward Etheredge, MD
8080 Bluebonnet Blvd Ste 1000,
Baton Rouge, LA 70810-7827

Ph: (225) 924-2424

Reviews and Comments


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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.