Nathan John Ethridge, PA-C in Fort Mohave, AZ - Medicare Physician Assistant

Nathan John Ethridge, PA-C is a medicare enrolled "Physician Assistant" in Fort Mohave, Arizona. His current practice location is 5330 S Highway 95, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 788-2273.

Nathan John Ethridge is licensed to practice in Arizona (license number 5750) 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 1316354400.

Contact Information

	Nathan John Ethridge, PA-C
	5330 S Highway 95, Fort Mohave, AZ 86426-9225
	(928) 788-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Nathan John Ethridge
Gender	Male
Speciality	Physician Assistant
Location	5330 S Highway 95, Fort Mohave, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316354400
Provider Enumeration Date: 07/21/2014
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 0648492769
Enrollment ID: I20141105000879

Medical Identifiers

Medical identifiers for Nathan John Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316354400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5750 (Arizona)	Primary

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. Nathan John Ethridge 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
Nathan John Ethridge, PA-C 5330 Arizona 95, Ft Mohave, AZ 86426 Ph: () -	Nathan John Ethridge, PA-C 5330 S Highway 95, Fort Mohave, AZ 86426-9225 Ph: (928) 788-2273

Reviews and Comments

Physician Assistant Nurses in Fort Mohave, AZ

Patrick L Ballou, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-7065
Kayla Barnett, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1520 E Hammer Ln Ste 102, Fort Mohave, AZ 86426 Phone: 928-963-9191
Mrs. Lisa Jane Carpenter, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1611 Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-1900

Nathan John Ethridge, PA-C - Medicare Physician Assistant in Fort Mohave, AZ