| Ethan Richter, PA-C | |
|
27650 Ferry Rd Ste 100, Warrenville, IL 60555-3846 | |
| (630) 225-2663 | |
| (630) 225-2399 |
| Full Name | Ethan Richter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 27650 Ferry Rd Ste 100, Warrenville, Illinois |
| 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 |
|---|---|---|---|
| 1720734171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.007619RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 085011609 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berger Hospital | Circleville, OH | Hospital |
| Saint Joseph Medical Center | Joliet, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohiohealth Corporation | 6305758426 | 2295 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Richter, PA-C 27650 Ferry Rd Ste 100, Warrenville, IL 60555-3846 Ph: (630) 225-2663 | Ethan Richter, PA-C 27650 Ferry Rd Ste 100, Warrenville, IL 60555-3846 Ph: (630) 225-2663 |
Daniel J. O'donnell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27650 Ferry Rd, Warrenville, IL 60555 Phone: 630-225-2663 Fax: 630-225-2399 |
Marissa Marcheski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 |
Anna Navigato, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27650 Ferry Rd Ste 100, Warrenville, IL 60555 Phone: 630-225-2663 Fax: 630-225-2399 |
Meghan Elizabeth Hanewall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-933-4959 |
Lauren Marie Weston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 773-758-6516 |
Christopher B. Ferron, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Winfield Rd, Warrenville, IL 60555 Phone: 630-646-3309 Fax: 630-548-6832 |
Ms. Kelly A Omsberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27650 Ferry Rd, Suite 100, Warrenville, IL 60555 Phone: 630-225-2663 Fax: 630-225-2399 |