Ethan Lee Brockett, DDS - Medicare Dentist in Spokane, WA

Ethan Lee Brockett, DDS is a medicare enrolled "Dentist" provider in Spokane, Washington. His current practice location is 3919 N Maple St, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 444-8200.

Ethan Lee Brockett is licensed to practice in Washington (license number DE61103491) 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 1487201695.

Contact Information

Ethan Lee Brockett, DDS
3919 N Maple St,
Spokane, WA 99205-1349
(509) 444-8200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEthan Lee Brockett
GenderMale
SpecialityDentist
Location3919 N Maple St, Spokane, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487201695
  • Provider Enumeration Date: 08/22/2019
  • Last Update Date: 11/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022486174
  • Enrollment ID: I20221121001160

Medical Identifiers

Medical identifiers for Ethan Lee Brockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487201695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DE61103491 (Washington)Primary

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. Ethan Lee Brockett 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 AddressPractice Location Address
Ethan Lee Brockett, DDS
611 N Iron Bridge Way,
Spokane, WA 99202-4932

Ph: (509) 444-8888
Ethan Lee Brockett, DDS
3919 N Maple St,
Spokane, WA 99205-1349

Ph: (509) 444-8200

Reviews and Comments


Dentist in Spokane, WA

Dr. Neal Donald Curtis, D.D.S.
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Phone: 509-468-1535    Fax: 509-467-6372
Dr. Paul Clark Fawson Iii, DDS
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Phone: 509-535-9515    Fax: 509-535-9525
Natasha Paranjapye, DDS
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Phone: 509-444-8200    
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Phone: 509-466-2587    
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Phone: 509-535-8838    Fax: 509-535-8854
Dr. David B Toillion, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 605 E Holland Ave Ste 222, Spokane, WA 99218
Phone: 509-755-5437    Fax: 509-755-0444
Dr. Christopher W Herzog, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 605 E Holland Ave Ste 222, Spokane, WA 99218
Phone: 509-755-5437    Fax: 509-755-0444

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.