Ethan Fahrney, in Shiprock, NM - Medicare Occupational Therapist Provider

Ethan Fahrney, is a medicare enrolled "Occupational Therapist" provider in Shiprock, New Mexico. His current practice location is Us Hwy 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6001.

Ethan Fahrney is licensed to practice in Delaware (license number U1-0002030) 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 1417517533.

Contact Information

	Ethan Fahrney,
	Us Hwy 491 North, Shiprock, NM 87420
	(505) 368-6001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Fahrney
Gender	Male
Speciality	Occupational Therapist
Location	Us Hwy 491 North, Shiprock, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417517533
Provider Enumeration Date: 06/20/2019
Last Update Date: 06/29/2020

Medicare PECOS Information:

PECOS PAC ID: 0042548810
Enrollment ID: I20200622001088

Medical Identifiers

Medical identifiers for Ethan Fahrney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417517533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	U1-0002030 (Delaware)	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 Fahrney allows following entities to bill medicare on his behalf.

Provider Name	Dhhs Phs Naihs Shiprock Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

Provider Name	Kayenta Alternative Rural Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422

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 Fahrney 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 Fahrney, Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001	Ethan Fahrney, Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001

Reviews and Comments

Occupational Therapist in Shiprock, NM

David J Reis, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Miss Robyn Alyce Nelson, O.T.R. L Occupational Therapist Medicare: Medicare Enrolled Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Rosette Mitexi Stabler, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Mrs. Jennifer Michelle Manning, OTR/L, CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 Phone: 505-368-7089 Fax: 505-368-7091
Sharraine Williams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Rd, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Danielle R Atencio-archibeque, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Hwy 64 Old High School Rd, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5520

Ethan Fahrney, - Medicare Occupational Therapist in Shiprock, NM