Dr Ethan R Levine, PHD in Concord, NC - Medicare Clinical Psychologist Provider

Dr Ethan R Levine, PHD is a medicare enrolled "Psychologist - Adult Development & Aging" provider in Concord, North Carolina. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Eventus Wholehealth Pllc and his current practice location is 101 Cabarrus Ave E, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at (888) 849-7379.

Dr Ethan R Levine is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1538300025.

Contact Information

	Dr Ethan R Levine, PHD
	101 Cabarrus Ave E, Concord, NC 28025-3699
	(888) 849-7379
	(855) 857-7333

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ethan R Levine
Gender	Male
Speciality	Clinical Psychologist
Experience	47 Years
Location	101 Cabarrus Ave E, Concord, North Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ethan R Levine graduated from medical school in 1977

NPI Data:

NPI Number: 1538300025
Provider Enumeration Date: 03/13/2009
Last Update Date: 04/08/2020

Medicare PECOS Information:

PECOS PAC ID: 3274708722
Enrollment ID: I20111212000189

Medical Identifiers

Medical identifiers for Dr Ethan R Levine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538300025	NPI	-	NPPES
14040	Other	NC	BCBS
6001139	Medicaid	NC
P01164443	Other	NC	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	650 (North Carolina)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Secondary
103TE1100X	Psychologist - Exercise & Sports	(* (Not Available))	Secondary
103TH0100X	Psychologist - Health Service	(* (Not Available))	Secondary
103TR0400X	Psychologist - Rehabilitation	(* (Not Available))	Secondary
103TA0700X	Psychologist - Adult Development & Aging	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eventus Wholehealth Pllc	6002169539	242

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 R Levine allows following entities to bill medicare on his behalf.

Entity Name	Onsite Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912338328 PECOS PAC ID: 7012149222 Enrollment ID: O20140422000656

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

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 R Levine 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 R Levine, PHD 101 Cabarrus Ave E, Concord, NC 28025-3699 Ph: (888) 849-7379	Dr Ethan R Levine, PHD 101 Cabarrus Ave E, Concord, NC 28025-3699 Ph: (888) 849-7379

Reviews and Comments

Psychologist in Concord, NC

Cheryl B. Masters, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025 Phone: 704-786-6521
Ms. Kimberly Aylene Kennedy, M. A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1065 Vinehaven Dr, Concord, NC 28025 Phone: 704-286-9181
Breana Lee Mcswain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Branchview Dr Ne, Concord, NC 28025 Phone: 704-780-4271
Mr. Marcus B. Davis, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173
Kim Ferguson, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 380 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-403-1800
Dawn Thomas, MA, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 Church St Ne, Concord, NC 28025 Phone: 704-792-0143 Fax: 704-792-0143
Dr. Jodie Castellani, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7655 Bruton Smith Blvd, Concord, NC 28027 Phone: 704-651-9569 Fax: 704-787-9672

Dr Ethan R Levine, PHD - Medicare Psychologist in Concord, NC