Mr Ethan David Burdman, PA-C, MPAS is a medicare enrolled "Physician Assistant - Medical" in Gettysburg, South Dakota. His current practice location is
608 E Garfield Ave, Gettysburg, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 765-2273.
Mr Ethan David Burdman is licensed to practice in South Dakota (license number 0692) 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 1710130190.
Provider's Profile
| Full Name | Mr Ethan David Burdman |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 608 E Garfield Ave, Gettysburg, South Dakota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1710130190
- Provider Enumeration Date: 10/29/2008
- Last Update Date: 09/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597826131
- Enrollment ID: I20140224002074
Medical Identifiers
Medical identifiers for Mr Ethan David Burdman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710130190 | NPI | - | NPPES |
| 0692 | Other | SD | SOUTH DAKOTA STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 0692 (South Dakota) | Primary |
| 363A00000X | Physician Assistant | PA164996 (Oregon) | Secondary |
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. Mr Ethan David Burdman 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 |
|---|
Mr Ethan David Burdman, PA-C, MPAS
1515 Village Dr,
Cottage Grove, OR 97424-9700
Ph: (541) 767-5222 | Mr Ethan David Burdman, PA-C, MPAS
608 E Garfield Ave,
Gettysburg, SD 57442-1325
Ph: (605) 765-2273 |
Reviews and Comments