Dustin Chase Ethridge, DC in Stockbridge, GA - Medicare Chiropractor Provider

Dustin Chase Ethridge, DC is a medicare enrolled "Chiropractor" provider in Stockbridge, Georgia. His current practice location is 9905 N Davidson Pkwy, Ste# 107, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 424-1421.

Dustin Chase Ethridge is licensed to practice in Georgia (license number CHIR008916) 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 1588930713.

Contact Information

	Dustin Chase Ethridge, DC
	9905 N Davidson Pkwy, Ste# 107, Stockbridge, GA 30281-4200
	(770) 424-1421
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dustin Chase Ethridge
Gender	Male
Speciality	Chiropractor
Location	9905 N Davidson Pkwy, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588930713
Provider Enumeration Date: 04/02/2012
Last Update Date: 04/02/2012

Medicare PECOS Information:

PECOS PAC ID: 4385800358
Enrollment ID: I20120718000768

Medical Identifiers

Medical identifiers for Dustin Chase Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588930713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CHIR008916 (Georgia)	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. Dustin Chase Ethridge allows following entities to bill medicare on his behalf.

Provider Name	Paulk Chiropractic Clinic Stockbridge Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275774770 PECOS PAC ID: 0345390688 Enrollment ID: O20090609000214

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. Dustin Chase Ethridge 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
Dustin Chase Ethridge, DC 9905 N Davidson Pkwy Ste 107, Stockbridge, GA 30281-4200 Ph: () -	Dustin Chase Ethridge, DC 9905 N Davidson Pkwy, Ste# 107, Stockbridge, GA 30281-4200 Ph: (770) 424-1421

Reviews and Comments

Chiropractor in Stockbridge, GA

Paulk Chiropractic-mcdonough Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9905 N Davidson Pkwy, Suite 107, Stockbridge, GA 30281 Phone: 770-474-1421 Fax: 770-474-1421
Chiropractic Solutions Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 875 Hwy 138 W Ste 1, Stockbridge, GA 30281 Phone: 678-432-4755
Alejandro Betancourt O'farrill, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 5430 N Henry Blvd Ste 100, Stockbridge, GA 30281 Phone: 770-389-4744 Fax: 770-389-4760
Dr. Pearline Allen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 Eagle Spring Ct Ste 3d, Stockbridge, GA 30281 Phone: 718-825-5097
Nicholas J Dasta, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5124 N Henry Blvd, Stockbridge, GA 30281 Phone: 770-474-6680 Fax: 770-474-3633
Braddy Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 102 Vincent Ave, Stockbridge, GA 30281 Phone: 770-506-4344
Patrick Edward Kulmacz, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9905 N Davidson Pkwy Ste 107, Stockbridge, GA 30281 Phone: 770-474-1421

Dustin Chase Ethridge, DC - Medicare Chiropractor in Stockbridge, GA