Dr Ethan Pottebaum, DC in Clive, IA - Medicare Chiropractor Provider

Dr Ethan Pottebaum, DC is a medicare enrolled "Chiropractor" provider in Clive, Iowa. His current practice location is 15920 Hickman Rd Ste 900, Clive, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 987-9574.

Dr Ethan Pottebaum is licensed to practice in Iowa (license number 128252) 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 1568284958.

Contact Information

	Dr Ethan Pottebaum, DC
	15920 Hickman Rd Ste 900, Clive, IA 50325-8013
	(515) 987-9574
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ethan Pottebaum
Gender	Male
Speciality	Chiropractor
Location	15920 Hickman Rd Ste 900, Clive, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568284958
Provider Enumeration Date: 10/28/2024
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3577097856
Enrollment ID: I20241108001755

Medical Identifiers

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

Identifier	Type	State	Issuer
1568284958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	128252 (Iowa)	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 Pottebaum allows following entities to bill medicare on his behalf.

Provider Name	Sweers Family Chiropractic Plc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457741712 PECOS PAC ID: 2264759695 Enrollment ID: O20150324002578

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 Pottebaum 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 Pottebaum, DC 15920 Hickman Rd Ste 900, Clive, IA 50325-8013 Ph: () -	Dr Ethan Pottebaum, DC 15920 Hickman Rd Ste 900, Clive, IA 50325-8013 Ph: (515) 987-9574

Reviews and Comments

Chiropractor in Clive, IA

Chiropractor Medicare: Medicare Enrolled Practice Location: 2555 Berkshire Pkwy, Suite F, Clive, IA 50325 Phone: 515-987-6332
Blair Camille Runde, PA-C Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 12493 University Ave Ste 100, Clive, IA 50325 Phone: 515-358-9461 Fax: 515-358-9489
Ryan Donahue, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2555 Berkshire Pkwy Ste F, Clive, IA 50325 Phone: 515-987-6332
Trent J Fugere, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2180 Nw 156th St, Suite 102, Clive, IA 50325 Phone: 515-987-0299 Fax: 515-987-5865
Simply Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 12871 University Ave., Suite #110, Clive, IA 50325 Phone: 515-224-0050
Champion Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 11050 Hickman Rd, Clive, IA 50325 Phone: 515-777-1014 Fax: 515-777-1015
Chiropractor Medicare: Medicare Enrolled Practice Location: 7405 University Ave Ste 1, Clive, IA 50325 Phone: 515-309-1217 Fax: 515-327-8635

Dr Ethan Pottebaum, DC - Medicare Chiropractor in Clive, IA