Dr Ethan J Belnap, DNAP in Dothan, AL - Medicare Nurse Anesthetist, Certified Registered

Dr Ethan J Belnap, DNAP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dothan, Alabama. His current practice location is 1308 Woodleigh Rd, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (208) 431-7699.

Dr Ethan J Belnap is licensed to practice in Alabama (license number 1-194255) 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 1174204846.

Contact Information

	Dr Ethan J Belnap, DNAP
	1308 Woodleigh Rd, Dothan, AL 36305-6354
	(208) 431-7699
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Ethan J Belnap
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1308 Woodleigh Rd, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174204846
Provider Enumeration Date: 07/26/2023
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 4587100516
Enrollment ID: I20240725002697

Medical Identifiers

Medical identifiers for Dr Ethan J Belnap such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174204846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-194255 (Alabama)	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. Dr Ethan J Belnap allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

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. Dr Ethan J Belnap 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
Dr Ethan J Belnap, DNAP 1308 Woodleigh Rd, Dothan, AL 36305-6354 Ph: (208) 431-7699	Dr Ethan J Belnap, DNAP 1308 Woodleigh Rd, Dothan, AL 36305-6354 Ph: (208) 431-7699

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dothan, AL

Gina L Searcy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Dennis Morrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Mr. Patrick Francis Lux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8765 Fax: 334-678-2864
Mr. Michael Aaron Allen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000
Nola Grubbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 Fax: 334-615-8419
Branden Schorr, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-899-8111
Janet Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191

Dr Ethan J Belnap, DNAP - Medicare Nurse Anesthetist, Certified Registered in Dothan, AL