Dr Ethan John Brunet, DC is a medicare enrolled "Chiropractor" provider in Robertsdale, Alabama. His current practice location is
18557 E Hammond St, Robertsdale, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 947-9010.
Dr Ethan John Brunet is licensed to practice in Alabama (license number 2727) 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 1912576356.
Healthcare Provider's Profile
Full Name | Dr Ethan John Brunet |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 18557 E Hammond St, Robertsdale, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912576356
- Provider Enumeration Date: 06/21/2021
- Last Update Date: 11/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577950351
- Enrollment ID: I20220426000741
Medical Identifiers
Medical identifiers for Dr Ethan John Brunet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912576356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 05056 (Ohio) | Secondary |
111N00000X | Chiropractor | 2727 (Alabama) | 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 John Brunet allows following entities to bill medicare on his behalf.
Provider Name | Cental Baldwin Chiropractic Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1013177104 PECOS PAC ID: 9739250119 Enrollment ID: O20161229000825 |
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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 John Brunet 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 John Brunet, DC Po Box 1044, Robertsdale, AL 36567-1044 Ph: (850) 910-2832 | Dr Ethan John Brunet, DC 18557 E Hammond St, Robertsdale, AL 36567-3629 Ph: (251) 947-9010 |
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