| Ethan D Brubaker, PA-C | |
|
6262 Veterans Pkwy, Columbus, GA 31909-3540 | |
| (706) 324-6661 | |
| Not Available |
| Full Name | Ethan D Brubaker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 6262 Veterans Pkwy, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861957169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstreet Of Georgia Pc | 7517126279 | 425 |
| Entity Name | Hughston Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164461190 PECOS PAC ID: 1355254780 Enrollment ID: O20031111000330 |
| Entity Name | Wellstreet of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Entity Name | Benning Hospitalist Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan D Brubaker, PA-C 6262 Veterans Pkwy, Columbus, GA 31909-3540 Ph: (706) 324-6661 | Ethan D Brubaker, PA-C 6262 Veterans Pkwy, Columbus, GA 31909-3540 Ph: (706) 324-6661 |
Mrs. Fallon E Lotson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 13th St, Suite A, Columbus, GA 31906 Phone: 706-243-7010 Fax: 705-243-7019 |
Eugenia Taras, PAA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 705-596-4000 |
Jolene Stewart Fondrk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 Fax: 706-327-6701 |
Ms. Kyndall Denise Grogan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 10th Ave Ste 211, Columbus, GA 31901 Phone: 706-507-0220 |
Deanna South, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3465 Macon Rd Ste D, Columbus, GA 31907 Phone: 706-541-8847 |
Hannah Elizabeth Flatley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 |
John P Schumacher, PA,CCP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Manchester Expy, Ste 1009, Columbus, GA 31904 Phone: 706-596-8200 Fax: 706-571-0207 |