Dr Ethan Raphael Lafontaine, DPT in Rock Hill, SC - Medicare Physical Therapist Provider

Dr Ethan Raphael Lafontaine, DPT is a medicare enrolled "Physical Therapist" provider in Rock Hill, South Carolina. His current practice location is 937 Riverwalk Pkwy Ste 101, Rock Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 325-1618.

Dr Ethan Raphael Lafontaine is licensed to practice in South Carolina (license number 11552) 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 1689396640.

Contact Information

	Dr Ethan Raphael Lafontaine, DPT
	937 Riverwalk Pkwy Ste 101, Rock Hill, SC 29730-0179
	(803) 325-1618
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ethan Raphael Lafontaine
Gender	Male
Speciality	Physical Therapist
Location	937 Riverwalk Pkwy Ste 101, Rock Hill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689396640
Provider Enumeration Date: 09/16/2022
Last Update Date: 11/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5799152351
Enrollment ID: I20221110002340

Medical Identifiers

Medical identifiers for Dr Ethan Raphael Lafontaine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689396640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P21714 (North Carolina)	Secondary
225100000X	Physical Therapist	11552 (South Carolina)	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. Dr Ethan Raphael Lafontaine allows following entities to bill medicare on his behalf.

Provider Name	Carolina Neurosurgery & Spine Associates Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154384568 PECOS PAC ID: 7214833375 Enrollment ID: O20040121000059

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 Raphael Lafontaine 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 Raphael Lafontaine, DPT 225 Baldwin Ave, Charlotte, NC 28204-3109 Ph: (704) 376-1605	Dr Ethan Raphael Lafontaine, DPT 937 Riverwalk Pkwy Ste 101, Rock Hill, SC 29730-0179 Ph: (803) 325-1618

Reviews and Comments

Physical Therapist in Rock Hill, SC

Tammy C Gantzer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 Professional Park Drive, Rock Hill, SC 29732 Phone: 803-329-4685 Fax: 803-329-4683
Zachary Titus Berg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1915 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-366-8155
Michael Arcidiacono, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 154 Amendment Ave, Rock Hill, SC 29732 Phone: 803-366-9990 Fax: 803-366-9960
Amanda Borth, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1525 Celanese Rd Ste 113, Rock Hill, SC 29732 Phone: 803-366-8243 Fax: 803-366-8245
Kathy Z Dorton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2156 Olde Creek Rd, Rock Hill, SC 29732 Phone: 803-324-5846 Fax: 803-324-5846
Mrs. Carole Barber Tiedeman, PT PHYSICAL THERAPIS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1169 Ebenezer Rd Ste C, Rock Hill, SC 29732 Phone: 803-324-5370 Fax: 803-324-7650
Rachel Colleen Ruel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2460 India Hook Rd Ste 107, Rock Hill, SC 29732 Phone: 803-658-4073 Fax: 803-329-1696

Dr Ethan Raphael Lafontaine, DPT - Medicare Physical Therapist in Rock Hill, SC