Austin Ethridge, PA is a medicare enrolled "Physician Assistant" in Hudson, Colorado. His current practice location is
22101 County Road 22, Hudson, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 673-2650.
Austin Ethridge is licensed to practice in * (Not Available) (license number ) 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 1285234914.
Provider's Profile
| Full Name | Austin Ethridge |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 22101 County Road 22, Hudson, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285234914
- Provider Enumeration Date: 10/30/2020
- Last Update Date: 10/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325455652
- Enrollment ID: I20221125000200
Medical Identifiers
Medical identifiers for Austin Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285234914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Austin Ethridge allows following entities to bill medicare on his behalf.
| Entity Name | Pueblo Community Health Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770529950
PECOS PAC ID: 4284543802
Enrollment ID: O20031104000171 |
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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. Austin 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 Address | Practice Location Address |
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Austin Ethridge, PA
22101 County Road 22,
Hudson, CO 80642-9514
Ph: Not Available | Austin Ethridge, PA
22101 County Road 22,
Hudson, CO 80642-9514
Ph: (970) 673-2650 |
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