Dr Ethan Jared Hansen, DPT in Williams, AZ - Medicare Physical Therapist In Private Practice Provider

Dr Ethan Jared Hansen, DPT is a medicare enrolled "Physical Therapist" provider in Williams, Arizona. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Empowerme Rehabilitation Llc and his current practice location is 300 S 6th St, Williams, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 635-4441.

Dr Ethan Jared Hansen is licensed to practice in Arizona (license number 8581) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518198860.

Contact Information

	Dr Ethan Jared Hansen, DPT
	300 S 6th St, Williams, AZ 86046-0110
	(928) 635-4441
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ethan Jared Hansen
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	16 Years
Location	300 S 6th St, Williams, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ethan Jared Hansen graduated from medical school in 2009

NPI Data:

NPI Number: 1518198860
Provider Enumeration Date: 08/04/2009
Last Update Date: 03/24/2021

Medicare PECOS Information:

PECOS PAC ID: 4082768197
Enrollment ID: I20090824000314

Medical Identifiers

Medical identifiers for Dr Ethan Jared Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518198860	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8581 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Empowerme Rehabilitation Llc	2769723162	419

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. Dr Ethan Jared Hansen allows following entities to bill medicare on his behalf.

Provider Name	North Country Healthcare Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107

Provider Name	Empowerme Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1144954074 PECOS PAC ID: 2769723162 Enrollment ID: O20230127000420

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. Dr Ethan Jared Hansen 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
Dr Ethan Jared Hansen, DPT Po Box 3630, Flagstaff, AZ 86003-3630 Ph: () -	Dr Ethan Jared Hansen, DPT 300 S 6th St, Williams, AZ 86046-0110 Ph: (928) 635-4441

Reviews and Comments

Physical Therapist in Williams, AZ

Melissa H Maslar, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 S 7th St, Williams, AZ 86046 Phone: 928-635-4441
Jennifer Finley Elswick, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: Po Box 221, Williams, AZ 86046 Phone: 859-536-1283
Shelby W Reid, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 S 7th St, Williams, AZ 86046 Phone: 928-635-4441
Victoria Noack, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 S 6th St, Williams, AZ 86046 Phone: 928-635-4441 Fax: 928-635-4403
Andrea R. Trujillo, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 S 7th St, Williams, AZ 86046 Phone: 928-635-4441
Jason W Schmit, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 S 7th St, Williams, AZ 86046 Phone: 928-635-4441

Dr Ethan Jared Hansen, DPT - Medicare Physical Therapist in Williams, AZ