Ethan Robert Curtis, is a medicare enrolled "Physician Assistant" in Royal Oaks, California. His current practice location is
29 Bishop St, Royal Oaks, California. You can reach out to his office (for appointments etc.) via phone at
(831) 728-2505.
Ethan Robert Curtis is licensed to practice in California (license number 62659) 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 1922615814.
Provider's Profile
| Full Name | Ethan Robert Curtis |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 29 Bishop St, Royal Oaks, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922615814
- Provider Enumeration Date: 09/25/2020
- Last Update Date: 08/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082089263
- Enrollment ID: I20230403000444
Medical Identifiers
Medical identifiers for Ethan Robert Curtis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922615814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 62659 (California) | 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 Robert Curtis allows following entities to bill medicare on his behalf.
| Entity Name | Golden Valley Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
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| Entity Name | Clinica De Salud Del Valle De Salinas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477694263 PECOS PAC ID: 3678513736 Enrollment ID: O20081118000667 |
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| Entity Name | Feather River Tribal Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629130240 PECOS PAC ID: 4284799628 Enrollment ID: O20110208000574 |
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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. Ethan Robert Curtis 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 |
Ethan Robert Curtis, 4620 Paces Ferry Dr, Durham, NC 27712-2196 Ph: (315) 200-6266 | Ethan Robert Curtis, 29 Bishop St, Royal Oaks, CA 95076-5266 Ph: (831) 728-2505 |
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