Ethan Mauldin, PA-C - Medicare Physician Assistant in Myrtle Beach, SC

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Ethan Mauldin, PA-C is a medicare enrolled "Physician Assistant" in Myrtle Beach, South Carolina. His current practice location is 809 82nd Pkwy, Myrtle Beach, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 692-1000.

Ethan Mauldin is licensed to practice in South Carolina (license number 2626) 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 1356888499.

Contact Information

Ethan Mauldin, PA-C
809 82nd Pkwy,
Myrtle Beach, SC 29572-4607
(843) 692-1000
Not Available

Map and Direction




Provider's Profile

Full NameEthan Mauldin
GenderMale
SpecialityPhysician Assistant
Location809 82nd Pkwy, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356888499
  • Provider Enumeration Date: 01/27/2017
  • Last Update Date: 01/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4385912955
  • Enrollment ID: I20170622002724

Medical Identifiers

Medical identifiers for Ethan Mauldin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356888499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2626 (South Carolina)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. Ethan Mauldin allows following entities to bill medicare on his behalf.
Entity NameMedcare Express - North Charleston LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457579617
PECOS PAC ID: 7618074899
Enrollment ID: O20070523000200
Entity NameAcs Primary Care Physicians - Southeast PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270

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. Ethan Mauldin 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
Ethan Mauldin, PA-C
1223 Dingle Rd,
Mt Pleasant, SC 29466-9386

Ph: Not Available		Ethan Mauldin, PA-C
809 82nd Pkwy,
Myrtle Beach, SC 29572-4607

Ph: (843) 692-1000

Reviews and Comments


Physician Assistant Nurses in Myrtle Beach, SC

Samuel Lauer,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572
Phone: 843-692-1000    
Lisa Marie Wilson, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572
Phone: 843-497-5929    Fax: 843-497-6601
Morgan Overton Phillips, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572
Phone: 843-497-7772    Fax: 843-848-7530
La'asha Burgess, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572
Phone: 843-497-6348    Fax: 843-497-6351
Madison Olivia Hinde, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Brookgreen Dr, Myrtle Beach, SC 29577
Phone: 843-455-0777    
Mrs. Tracy Reymore Black, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8208 Devon Court, Suite B, Myrtle Beach, SC 29572
Phone: 704-364-6110    Fax: 704-364-4245
Christopher Cody Belk, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572
Phone: 843-497-7772    Fax: 843-848-7530

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.